1516 N. Lakeshore Drive Chicago, IL 60610 USA Tel 1.312.642.3555 Fax 1.312.787.1624 info@icsglobal.org
If you and/or your National Section are interested in receiving a Surgical Team, please fill out the following form.
1. Name of Hospital/University/Institution interested in receiving a team:
2. Objectives for the team to accomplish:
3. Information on the program (surgical specialties desired, regulation on the team performing the surgery, additional needs such as instruments, etc.):
4. Time frame, length of stay, approximate dates:
5. Travel accommodations (the host section is responsible for lodging and living expenses):
The ICS requires that a detailed written report and photographs on the activities of the Team be submitted to ICS Headquarters upon completion.