Nicaragua - Medical Relief COMPLETE


April 6, 2018 - April 14, 2018

IMR Signature Trips
This trip offers special features or exclusive opportunities unique from standard IMR experiences.

About The Mission Trip

trip_InfoAboutAfter landing in vibrant Costa Rica, you will be transported by boat to Nicaragua's tropical rainforest region. Posted in one of the most ecologically diverse environments of the world, the medical team will travel to the Rama Indian tribes and other remote communities to set up clinics. Early each morning the team will venture out on guided boats, traveling on rivers famous for world-class fishing, to reach these isolated locations throughout the rainforest. Following the clinic, IMR’s team will return to their accommodation: a state of the art, exclusive lodge, where private cottages are connected via bridged paths that wind through the Amazon rainforest. Housing a minimum of 44% of the plant species and 35% of vertebrate species on Earth, Nicaragua’s rain forest is considered a biodiversity hotspot of Mesoamerica. Embrace the opportunity to be immersed in this tropical ecosystem, as this area is in danger of being lost, like so many of our natural rainforests.

About Clinic

trip_InfoClinicThe indigenous groups in this area rarely receive medical care or any outside visitors. It is an honor to receive their trust and be allowed into this region to provide medical care. The Rama, considered to be the “Guardians of the Forest,” do not generally have the means to travel the extensive distances to seek the limited health care typically offered. Your patients will paddle for many hours against the current to come to clinic or to return to their homes after being seen. If you watch closely, you may see a small wooden canoe, hand carved from the single log of a tree, tied up to a larger barge for a tow against the current. IMR’s focus on health education and acute medical and dental care will serve your patients well: you will see many patients for wound care, respiratory infections, and fungal infections. Rotavirus, giardiasis, ascariasis, and other infectious diseases are common, much of which can be prevented through your team’s focus on preventing disease with education.

Transportation & Lodging

trip_InfoLodgingAfter a successful day in clinic, your team will return to your state-of-the-art, exclusive lodge where private cottages are connected via bridged paths winding through the rainforest. Adventure seekers on your team can take in a nightly stroll to look for crocodiles, hunt for caimans from the lodge boats, look for the loud yet elusive howler monkeys, or try paddle boarding and world-class fishing. Others might enjoy reading in a hammock swing, swimming in the infinity pool or waterways, taking nature hikes to spot unique plants, flowers, and creatures such as the beautiful poison dart frog, or spending some quiet time in your private rainforest cottage, reflecting on the day and watching the sun set. For those in between active and restful, do some birding--toucans, jacanas, ibis, and spectacular owls don’t even begin to name all of the birds seen at the resort. After this, you will be ready for dinner: gourmet local fare, with a spectacular assortment of local fruits, local fish, and remarkable desserts which will not disappoint. Dinner is, of course, followed by a lovely breakfast buffet, and the lodge will cater your simple, but flavorful lunch in clinic each day. For those of you flying independently, you can book your flights to San Juan del Sur, Nicaragua which is quite close to the resort. For more adventuresome travel, book your flights to San Jose, Costa Rica. From there it is 2 hours by bus and 3 -5 hours by boat. You are going on a real adventure on this trip!

Trip Highlights

trip_InfoHighlightsThis Signature Trip includes lodging at a five-star eco-lodge, specially designed evening activities, gourmet food, and the opportunity to care for the indigenous Rama people of Rama Cay. You will travel along some of the most beautiful waterways in the world; keep a sharp eye out for birds and a few crocodiles along the way!

Extend Your Stay

trip_InfoExtendedStayIf you are one of many our volunteers wanting to extend their stay to take advantages of the remarkable tourist destinations in the area, please select the option without team airfare. However, you don't need to leave our five-star resort to spend time on a world-class sport fishing vacation, world-class birding, or hiking with bilingual Rama guides who are world-class naturalists. Through a special arrangement with IMR, our team members may stay at the resort for an extra week at a reduced cost which will include all sightseeing, activities, and transfers. If you want to go beyond the resort, try surfing in San Juan del Sur, tour the two active volcanoes on the island of Ometepe, or take a ride on a chicken bus to get some local eats; the pelibuey (lamb) and beef are excellent. Or book your return flight back via Costa Rica to experience its birding tours, world-class surfing, archeological sites, and sloth sanctuaries! Please let the IMR office know if you would like some help arranging an extended stay.

Trip Donation & Travel Options

50% of the minimum donation is REQUIRED to secure your place as a TEAM MEMBER.

Travel Assistance

If you are in need of travel arrangement assistance and would like help booking flights, hotels, extended stays and more contact Worldwide Navigators at (970) 633-3033.


50% Payment by Jan 7th, 2018
(International Flight Included)
PRICE 3,150
*Requires 50% of the minimum donation to be paid by Jan 7th, 2018 - .

*If payment is received after Jan 7th, 2018

International flight costs are additional and not included in this price
Costs of group airfare will be priced at the market value.

ECONOMICAL FLIGHT: An economical option with longer routings and layovers in exchange for a less expensive flight. Some layovers may be long enough to allow you for a city tour at your own leisure.

PREMIER FLIGHT: A more direct routing that is a higher cost for those of you looking to save time.

You must book airfare from your home city to the international destination city
- Not Included -

IMR can route you directly from your hometown as an added convenience. You will pay the cost of the ticket at the time of purchase.
DONATION DUE DATES Full Minimum Donation Amount due Mar 6th, 2018. Payment of 1,825 (50%) is required by Jan 7th, 2018 to be included on the IMR Group Flight. Full Minimum Donation Amount due Mar 6th, 2018.
FLIGHT SCHEDULE You are responsible for meeting the team at the airport or designated location in Nicaragua prior to the team’s official arrival. Should you have travel delays it will be your financial responsibility to meet the team at their location upon your arrival. You will fly with other IMR team members to our final destination. The official ground itinerary will exactly match your flight schedule.
AIRPORT TRANSFERS Ground transportation to the IMR meeting place on the first day of your trip is available for all independent flyers for an additional fee. Ground transportation is included.
EXTENDED STAY Extend your stay to see some of the amazing sites that this country has to offer. Flexibility in your arrival and return date may also help you reduce your ticket cost. Additional nights at before or after the trip are at your own expense. Extend your stay on an official trip extension with World Wide Navigators

Your Donation to IMR Includes:

  • All group costs from the time you arrive at the team meeting point in country until you separate from the team, including transportation, lodging, food, tips for services provided to the IMR team, costs associated with clinic, and all logistics, including translation services and security as needed.


Costs that you are responsible for in addition to your donation to IMR:

  • If flying on subsidized team flight: your domestic round-trip airfare to the central point of departure and any costs associated with this portion of your travel.
  • If flying independently: your international round-trip flight to destination city and any costs associated with this portion of your travel.
  • Passport fees, visa fees, and transit fees, including baggage or overnight accommodations/meals while in transit.
  • Vaccinations and medications common for travel.
  • Spending money for souvenirs and personal purchases.
  • Trip supplies and personal equipment or small gifts for the special people you meet. 
  • Any lodging, meals, and transportation outside of the scheduled team trip, payable at the time of service to the local vendor.


IMR provides a fundraising packet and personal fundraising page to all registered trip applicants that is full of ideas on how you can raise support for your trip or for supplies to be utilized on this specific mission. When soliciting donations for any of our trips, success is completed through telling your personal story. Why do you want to go? Who will you help? Why their donation can help you achieve the ultimate goal. Tell your story to anyone and everyone. Refer your potential or active donors to our website or Facebook page and to your IMR personal fundraising page. You may share your IMR personal fundraising URL on Facebook and other social media sites.

Safety & Security

We take security very seriously at IMR.  It is our job to ensure that security precautions are in place, but please keep in mind that we cannot guarantee your safety on the trip.

  • We continuously review all current activities occurring on the ground, and we work with the State Department and the U.S. Embassy to know the ground situation to the best of our ability. 
  • We have a security training conference call with our volunteers where we detail our security procedures that are in place for the trip. 
  • We take many security precautions such as radios, a buddy system, and security planning. 
  • We provide you with an email address that you can give to the people you meet to protect your privacy until you determine that you want to remain in contact with team.
  • We rely on our teams to be cognizant of their own safety and to be aware of their surroundings. 
  • We have several policies in place that we require the team to adhere to for their safety and that of the team as a whole. 

Trip Preparation

A service that we are very proud of at IMR is the preparation that each team and team member receives prior to the trip. This is one of the most important reasons that you should join an IMR team.

All team members receive a detailed briefing packet outlining the important elements that make a successful trip, packing lists, and a checklist to keep you on track. You will receive detailed information on how clinic operates, the roles on an IMR team, community health education topics, fundraising, and access to a personal IMR fundraising page. Best practices for providing care in short term medical clinics, public health information specific to the country you are traveling too, and a guide to the infectious diseases of that country will be shared with the team. You will also receive a comprehensive country briefing packet that provides background information, cultural etiquette, common phrases, and links to additional information from a variety of sources. Finally, a departure packet that outlines how and where to meet your team will be sent just prior to departure.

IMR applicants and team members will also have access to a series of phone conferences where you will learn about specific aspects of IMR trips and 2 Q and A calls where you can ask questions specific to your trip. There will also be a Q and A call just prior to departure to help ensure that you have the most important information and are ready to go!

Most importantly, we are always here to answer your questions or help you complete your application. It is our goal that we exceed your expectations for preparation, patient care, and your overall trip. Let us know how we can help and how we did!

Frequently Asked Questions

What does the donation amount include?

The donation amount covers the cost of lodging, meals, and transportation while you are in the country, and clinic supplies/medications for our patients. If you are eligible for and choose the Subsidized IMR Flight, your donation amount also includes the cost of your international airfare. Costs that are not included in the donation amount are your passport, travel visas (if applicable), domestic airfare to the group departure city, vaccinations, and insurance. You also have the option of flying on your own directly from your hometown and meeting up with the team in country. IMR gives you the option of purchasing your own tickets, which decreases your minimum donation amount. It also gives you the opportunity to extend your stay to do some sightseeing after the trip, and fly directly from your home city to your final destination.

What will the team be doing on the trip?

IMR teams provide medical care and community health education to communities that lack access to care. A typical IMR team consists of doctors, nurses, EMTs, medical/nursing students, pre-med students, and non-medical volunteers. We strive to have a dental team on every trip as well. The team usually stays in a central location and travels each day to a different community to set up a mobile medical clinic. In order to promote lasting and sustainable improvements in the health of those communities, IMR conducts an extensive community health education program in each area as well. No matter what your specialty or skill level, there is a job for you on an IMR trip!

Can I fundraise for the trip?

Yes!  Many volunteers fundraise for trips.  Once your references are approved, IMR will send a fundraising packet that contains information on how the personalized fundraising page on the IMR website works.  It also contains some great ideas for fundraising events and other ways to fundraise for the trip.  IMR is a 501(c)3 charity, and all donations are tax-deductible to the fullest extent of the law.

Are there any important dates I need to know?
      • IMR Subsidized Flight: In order to qualify for the IMR Subsidized Flight, you will need to reach 50% of theMinimum Donation Amount on or before Jan 7th, 2018.
      • Early Bird Special: A discount of $200 is awarded to team members who raise / pay 50% of the Minimum Donation Amount on or before Jan 7th, 2018.
Are there additional costs / expenses for the trip?
  • If flying on subsidized team flight: your domestic round-trip airfare to the central point of departure and any costs associated with this portion of your travel.
  • If flying independently: your international round-trip flight to destination city and any costs associated with this portion of your travel.
  • Passport fees, visa fees, and transit fees, including baggage or overnight accommodations/meals while in transit.
  • Vaccinations and medications common for travel.
  • Spending money for souvenirs and personal purchases.
  • Trip supplies and personal equipment or small gifts for the special people you meet. 
  • Any lodging, meals, and transportation outside of the scheduled team trip, payable at the time of service to the local vendor.
Can IMR assist me with travel plans and extended say options?

Yes!  We encourage our volunteers to extend their stay and explore.  And by extending your stay you also put money into the economies of these developing countries!