Duke Medicine
Gulf Relief Volunteer Form |
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Completion of this form only indicates an interest in serving as a volunteer for the Disaster Relief Effort being led by National Institute for Environmental Health Sciences (NEIHS) in partnership with Duke. Individuals wishing to be deployed must agree to the following:
1) a 2-week period of service;
2) availability for service within 24 hours if required;
3) supervisory approval (i.e. agreement to arrange coverage for you if you are deployed);
4) compliance with vaccination requirements (Hep A, Meningococcal, Diphtheria/Tetanus).
5) ability to withstand difficult and challenging living conditions
Actual assignments will be made based on clinical requirements in the area of need, need to maintain clinical services at Duke, as well as individual experience, preparedness and skills sets. |
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(e.g., M.D., R.N., Pharmacist, House Staff, etc.) |
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(e.g., Cardiology, Pediatrics, etc.) |
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Duke University Hospital
Duke Health Raleigh Hospital
Durham Regional Hospital
School of Medicine
School of Nursing
PDC
DUAP
Duke Health Community Care |
| Clinical Unit |
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| Supervisor Name: |
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| Supervisor Email: |
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