MDB Scholar Forms

Step 1: Download appropriate documents

Forms for medical students:

Forms for residents/fellows/faculty:

Step 2: Submit completed documents

Note: Please upload these documents to your MDB folder on Box that was created for you. Contact globalchildhealth@stanford.edu with questions. Thank you!

All required documents should be submitted 1 month prior to departure.

  • Medical Insurance Coverage (Medical Student)
  • Medical Insurance Coverage (Resident/Fellow/Faculty)
  • Travel Clinic Note (To confirm that you have completed your medical evaluation.)
  • Copy of Registration (Copy of the registration of your trip with the Stanford Office of International Affairs.)
  • Confirmation of Completion of Web-Based Ethical Challenges Course
  • Liability Waiver
  • Copy of Itinerary
  • Registration with US State Department's Smart Traveler Enrollment Program (To inform them of your travel and to receive updates from the US embassy or consulate in your destination country.)
  • Confirmation of Pre-departure meeting with Dr. Kache (To discuss rotation preparation and expectations.)