Medical Team Forms
Physician
Physician Credentialing Needed
1) MINISTRY OF LABOUR AND SOCIAL SECURITY
(Work Permit/Exemption Application Form)
*Part 1- Numbers 1 through 14, number 29
2) PROFESSIONAL REGISTRATION FOR SHORT TERM VOLUNTEERS
3) Certified Photostat or certified copies of academic certificates of diplomas
(2 notarized copies of his/her Medical school diploma)
4) CURRENT License (2notarized copies of his/her MD license)
5) Names and addresses of 2 medical references
6) Passport size photograph (2 notarized passport size photographs)
7) Form A - Application for Registration As A Medical Practitioner
Dentist
Dentist Credentials Needed
1) FORM A-THE DENTAL ACT APPLICATION FOR REGISTRATION AS A DENTIST
(Plus a signature on page 2 to be completed by another professional practitioner)
2) MINISTRY OF LABOUR AND SOCIAL SECURITY (Work Permit/Exemption Application Form) *Part 1- Numbers 1 through 14, number 29
3) PROFESSIONAL REGISTRATION FOR SHORT TERM VOLUNTEERS
4) Certified Photo/copies of academic certificates of diplomas(2 notarized copies of dental school diploma)
5) CURRENT License (2 notarized copies of his/her DDS license)
6) Names and addresses of 3 dental references
7) Passport size photograph (2 notarized passport size photographs)
Nurse
Nurse Credentials Needed
1) THE NURSING COUNCIL-Nurses and Midwives Act, 1964,72 ARNOLD ROAD, KINGSTON 5,Circular #1
2) MINISTRY OF LABOUR AND SOCIAL SECURITY (Work Permit/Exemption Application Form) *Part 1- Numbers 1 through 14, number 29
3) PROFESSIONAL REGISTRATION FOR SHORT TERM VOLUNTEERS
4) Certified Photostat/copies of academic certificates of diploma (2 notarized copies of diploma)
5) Certificate of Registration or License
6) Two Reference letters(within in 6mths of date of departure):1-Personal Reference,2-Medical Reference.
7) Transcript from Licensing Institution - LPN
8) Curriculum Vitae
9) Certified Birth Certificate AND Marriage Certificate IF NAME IS DIFFERENT ON LICENSE
10) Passport size photograph (2 notarized passport size photographs)
Allied Health Professional
Allied Health Professionals Credentials Needed
1) MINISTRY OF LABOUR AND SOCIAL SECURITY (Work Permit/Exemption Application Form) *Part 1- Numbers 1 through 14, number 29
2) PROFESSIONAL REGISTRATION FOR SHORT TERM VOLUNTEERS
3) Certified Photostat/copies of academic certificates of diploma (2 notarized copies of diploma)
4) Certificate of Registration or License
5) Two Reference letters(within in 6mths of date of departure):1-Personal Reference,2-Medical Reference.
6) Transcript from Licensing Institution
7) Curriculum Vitae
8) Certified Birth Certificate AND Marriage Certificate IF NAME IS DIFFERENT ON LICENSE
9) Passport size photograph (2 notarized passport size photographs)
Medical Manifest Template
