Forms – Los Médicos Voladores

Register

Los Médicos Voladores -- The Flying Doctors

Posted on March 4, 2017 by Squidily SquidlyJanuary 25, 2020

First Name:*

Last Name:*

E-mail:*

Select a Chapter closest to you. If no chapter is near by, you can choose Member At Large. If you are going to be joining one of our trips to Central/South America or Haiti, choose the International Chapter.

Select Chapter:*

Select Role(s):*

Doctor

Healthcare Support

Pilot

Translator

Volunteer

Select Medical/Healthcare Discipline:

References, Organizations:

Interested in trips to:

Please provide us with a username and password for site login:

Verifying UserName:

Username:*

Password:*

Password confirmation:*

Recaptcha Word Verification:

The register button will not be available until the form is completely filled out and you have selected an unique username.

Chapter E-mail:

Select Chapter Email:

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Register Existing LMV Member with website

Los Médicos Voladores -- The Flying Doctors

Posted on January 13, 2017 by Squidily SquidlyJanuary 25, 2020

THIS IS NOT A SIGN IN PAGE IF YOU HAVE BEEN HERE BEFORE, PLEASE GO TO THE SIGN IN LINK IN THE UPPER RIGHT HAND CORNER OF THE WEBSITE PAGE. This page is designed to create your username and password … more…

THIS IS NOT A SIGN IN PAGE

IF YOU HAVE BEEN HERE BEFORE, PLEASE GO TO THE SIGN IN LINK IN THE UPPER RIGHT HAND CORNER OF THE WEBSITE PAGE.

This page is designed to create your username and password only

Thank you for all that you do

Welcome LMV Member!

You have been given the link to this page so you may register with our new FLYINGDOCS.ORG site to create your own personal login. Having a personal login helps us keep your information private.

This page is private and only people who have been sent this link have access to it. Please do not share this link as it contains information specific for identifying you.

Please provide as much information as you can so we can uniquely identify you. If we are unable to connect you with your roster record or if you want more help, please contact me at lmvwebmaster @ flyingdocs.orgThis information will be used to update your roster record.

First Name:*

Last Name:*

E-mail:

City:

Chapter:

LMVID*

LMV Status:

Site Status:

Please confirm your identify above:

Recaptcha Word Verification:

Please choose a username for logging into the site. Usernames may only contain Latin letters and Numbers but may be of any positive length.

You will be able to login with either your username or your email address.

Verifying username...

Username:*

Password:*

Identity Confirmed

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Los Médicos Voladores — The Flying Doctors

Flying Medical Aid to Latin America and Southwestern United States since 1975

Category Archives: Forms

Register

Please provide us with a username and password for site login:

Register Existing LMV Member with website

This page is designed to create your username and password only

Welcome LMV Member!