Please fill out the information and SELECT
1. "Joining Sakya Care Family" to become a member of Sakya Care Foundation to receive information regarding upcoming events
2. "Humanitarian Mission 2020" to sign up for medical mission trip - VIETNAM & CAMBODIA PROJECT 2020 FROM JUNE 22-JULY 4, 2020.
Your information will not be saved until you go to the very end of the page and click SAVE AND SUBMIT.
If your plans have changed, please use the RECALL MY INFORMATION button to pull up your assignments, and cancel yourself promptly
If you have any question, please don't hesitate to contact us at info@sakyacare.org
Only U.S. licensed professionals are able to volunteer as healthcare providers.
We welcome student participation at our clinics! We have three main types of student participation:
Great! Finish your registration and pick your assignments for your first clinic, then click
SAVE AND SUBMIT at the bottom.
THEN, click the RECALL button at the top to pull up your record, scroll down, and pick your assignments for the second event (and repeat).
- Waiting Lists: if your preferred assignment is full, a waiting list option may be shown. If you choose to be on the waiting list for your preferred assignment, you will also be given the option to select an alternate assignment. If an opening becomes available in your preferred assignment, you will receive an email notice (and, if selected, a text message) automatically moving you to your preferred assignment. This will automatically cancel you from the alternate assignment.
CONFIDENTIALITY STATEMENT
I understand that while I am participating as a registered volunteer at the Sakya Care Foundation clinic, it is mandatory that I maintain complete privacy and confidentiality of all patients. This pertains to all present and future written and verbal communications referring to any Sakya Care Foundation clinic patient. I also understand that unless I am obtaining information strictly for patient registration, I DO NOT ASK a patient any questions regarding medical insurance coverage, Medicare, or Medicaid. With my signature on the line below, I acknowledge that I have read, understand, and agree to adhere to this policy of confidentiality for the Sakya Care Foundation clinic.
RELEASE AND INDEMNIFICATION
I hereby release and indemnify Sakya Care Foundation, a non-profit organization, and all its respective officers, directors, agents, contractors, heirs, successors, and assigns, from prosecution or presentation of any claim for bodily injury or death or for property loss or damage incurred in connection with this Sakya Care Foundation clinic or related activities. I fully understand that I am volunteering at my own risk and that due to my occupational/other possible exposure to blood or other potentially infectious materials, I may be at risk of acquiring Hepatitis B virus (HBV) infection or other blood borne pathogens. I understand if I do not have the HBV vaccine, I continue to be at risk for acquiring HBV, a serious disease. If, in the future, I want to be vaccinated with HBV vaccine, I can acquire the vaccination at my own expense.
MEDIA DISCLAIMER
I give my permission for Sakya Care Foundation, its employees, volunteer staff, agents and subcontractors, to use my likeness captured in any photographs, videotape or other similar product by means of camera or any electronic or other similar devices, to be used for any purpose whether or not published and whether or not I am aware of the fact that my likeness has been captured.