ST. ANNA'S MEDICAL MISSION
Volunteer Forms
Instructions for In-State Volunteers:
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ALL VOLUNTEERS must complete, sign and submit the following forms:
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Send a legible copy of:
- A government issued photo ID (driver's license or passport)
- Health insurance card
- Proof of recent (within 1 year) TB skin test
- Proof of malpractice insurance (for Nurses, Physicians, social workers, counselors)
- Copy of professional license (Nurse, Physician, Social Worker, counselors)
- Copy of current CPR card (nurses, nurse practitioners and doctors)
- Copy of DEA number (physicians only)
- To:
- Email: diana@stannanola.org
Fax: (504) 947-2122
- Mail: Diana Meyers
1313 Esplanade Ave.
New Orleans, La 70116
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Call Celeste (504-232-4496) or Diana for an interview (504-947-2121)
Next: Out-of-State Volunteer Forms
