Apply for a MAP Custom Pack for Medical Missions
MAP International’s Custom Pack allows you to choose the right medicine and supplies for your particular mission trip. You may select from an inventory of the most frequently-used medicine and health supplies in communities served by medical mission teams. Prescription products are only available to be ordered by a licensed medical professional.
To apply for a MAP Custom Pack, please complete steps 1, 2, & 3 below.
Steps to Ordering a MAP Custom Pack
1. Fill out and submit the MAP Eligibility Form.
The MAP eligibility form is a required document used to verify that your medical mission trip qualifies for receiving MAP product. This form includes questions about yourself, your organization, and your planned medical mission trip.
2. Fill out and submit the MAP Practitioner’s Agreement.
This step is only required if you plan to order Rx products.
The MAP Practitioner’s Agreement is a required document used to verify that you are qualified to order and receive Rx product.
Practitioner’s agreement must be signed by a licensed Physician or a Nurse Practitioner.
If you practice medicine outside of the United States, MAP will require additional documents to evaluate your medical credentials.
3. Fill out and submit an order for a Custom Pack.
Once your Eligibility Form and Practitioner’s Agreement has been completed, please fill out and submit your order for an Custom pack. To complete the custom inventory shipping information form and inventory selection, you must download or print this form. Then you can send back by scanning or emailing to orders@map.org.
4. Wait for your Eligibility Form, Practitioner’s Agreement and Custom Pack order to be reviewed.
Once the MAP Medical Missions Team has received ALL THREE required documents – Eligibility Form, Practitioner’s Agreement and your Custom Pack order, your order will be reviewed for approval.
5. Once your application has been reviewed for approval, you will be
contacted with the next steps.
The MAP Medical Missions team will contact you with any questions about your application. Once approved, they will share with you the next steps in processing your order.
If you have any questions during the application or approval process of your order, please contact the MAP Medical Missions team
Call us:
Send us an email:
Mailing address:
1-912-280-6627
orders@map.org
4700 Glynco Parkway
Brunswick, GA 31525