Nicaragua - Medical Relief COMPLETE


June 1, 2019 - June 8, 2019

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. You will be staying in one of the most ecologically diverse environments of the world. The medical team will travel to the Rama Indian tribes and other nearby communities to set up clinics. Each morning the team will venture out on guided boats, traveling on rivers famous for world-class fishing, to reach these nearby large communities as well as the more 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 growth in the Bluefields area has expanded beyond the ability of the medical structure to care for their patients. IMR works in town to help offset the overload of patients from the continual growth in this area. Also, indigenous groups that rarely receive medical care or any outside visitors are also a very special highlight for any volunteer. It is an honor to receive the patient's 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_InfoLodgingThe Río Indio Adventure Lodge is considered a Birding Paradise due to the great variety of species and families in a relatively small area. Our packages1 can suit your needs to find that special bird or just to marvel at the great variety of colors and species. The Rio Indio Adventure Lodge rests on the banks of the San Juan River surrounded by 640,000 acres of Rain Forest at the Rio Maíz National Park, which makes it the largest rain forest north of the Amazon Jungle. From the high Cloud Forest of Costa Rica to the low lands of the Nicaraguan Jungle, you will find a great deal of indigenous species of plants and animals that do not exist in other parts of the world. After 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, hold and hug a sloth, or try paddle boarding and world-class fishing. Others might enjoy reading in a hammock swing, read or journal from your spacious private cottage deck rocking chair, 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. Wake up to 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 approximately 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! TRAILS: Almost 6 kilometers of nature trails to explore right on the property. Come experience this awesome rain forest wilderness and see the many birds and wild animals we have right on the property! Maybe you’ll see the Red Brocket Deer or the shy tapir. You will almost definitely find a toucan lighting upon a branch overhead or any of the more than 600 species of exotic birds that inhabit this area. Either way, you will be sure to enjoy the incredible beauty of this exotic natural wonderland! What could be better than a fresh, all-natural escape from the rigors of your day to day life? Well, throw in some of the best fishing imaginable, a rain forest home to more than 600 species of birds and 200 species of wild animals, natural springs and much more, and you have not only a vacation, but the adventure of a lifetime! FISHING: The location of the Rio Indio Lodge in this region of Costa Rica and Nicaragua puts us in the ideal position to fully explore its great sport fishing potential. Tackle-tearing Tarpon, Trophy Common Snook, Fat Snook, Rainbow Bass (Guapote), Mojarra, Drum and many more make us an exclusive year-round fishing destination for species unlikely to be found anywhere else. For our Caribbean coast operation, we utilize our fully outfitted 16-foot Jon boats allowing anglers to work the rivers and back waters, while our powerful 20-foot fishing vessel allow us safely fish in shore and along the river mouths for Tarpon, Jack, Triple Tail, Snapper and Tuna. Our bilingual guides (most being Rama Indians), know the area like no others and are experts on the latest fishing gear, knots and techniques. Our guides will take you to exclusive virgin areas of the rain forest that only our boats have access to, discovering a whole new concept of unexplored and unexploited sport fishing. Individual packages can be purchased for volunteers to use during their stay after clinic.

Extend Your Stay


You're venturing around the globe, have you considered extending your stay a few additional days to visit some of Nicaragua top spots? Join IMR on an exclusive extension of the Corn Islands in Nicaragua! Laden with vibrant Caribbean colors and blissfully underdeveloped, Big and Little Corn islands whisk you far away from reality to a primitive paradise right on the verge of becoming the Next Big Thing. Spend restful hours lying in a palm tree-anchored hammock, kick back in a no-fuss beach shack or snorkel from deserted pristine beaches. Savor hand-picked tropical fruits and fresh Caribbean lobster, then pull up a stretch of golden beach and relax for days in a true island paradise.

Take a look at the trip itinerary here:

For more information contact Worldwide Navigators, our preferred travel agency, at

Trip Donation & Travel Options

Pay 1,675 and complete your application to secure your place as a TEAM MEMBER!

Payments / Requirements & Earlybird Discount

How much do I need to pay?

Cost Per Volunteer: $3,350

  • * Amounts below INCLUDE a discount for the Bag Scholarship Rebate ($300)

Before Mar 5th, 2019: 2,850

  • Pay 1,675 of the total cost by the Early Bird date AND upload/complete all of your required documents and forms receive $200 off the cost of your trip.  
  • Meeting this goal ensures that your space on the team is confirmed
  • You are an EARLY BIRD!  
  • Payment in full is due by May 11th, 2019

After Mar 5th, 2019: 3,050

  • To confirm your space on the team: Pay 1,675 of the total cost AND upload all of your required documents and forms!  
  • Space on our teams is on a first come/first serve basis.  Your space is not reserved until you have met these requirements.  
  • Payment in full is due by May 11th, 2019
  • Unfortunately, eligibility for the $200 savings on this trip is no longer available after Mar 5th, 2019.

$300 Bag Scholarship

$300 Rebate To Carry IMR Supply Bags - Bag Scholarship
  • We need your help to take IMR supply bags internationally to Nicaragua!
    • The scholarship is first come, first served.  We only have a few on every trip!
    • Priority is given to group flight ticket holders but independent fliers are also welcome to apply!
    • Apply for the scholarship on your account page.
    • You will receive the funds in the form of a rebate check after your IMR bags have been received at the IMR warehouse following your trip.
    • How It Works...
        • You will be notified via email if you been chosen to receive the IMR bag scholarship!
        • If chosen, you will receive the IMR supply bag(s) to the address provided in your application within a week of departure
        • We will email you prepaid shipping labels to return the bags to us once you're back in the US! All you have to do is drop the bag off at your nearest UPS office!
      • Note:
        • You are responsible for any checked baggage charges on your domestic and international tickets (check your baggage policy with your airline)
        • Bags may weigh up to 50 lbs and are not always on rollers
        • You will receive a rebate check for $300 approx. 4-6 weeks after returning your bag(s) following your trip (using your pre-paid UPS mailer).

Flexible Flight Options

Is group airfare available through IMR?

Before Mar 5th, 2019:  YES! IMR will arrange your international flight on a "group" ticket at your request!

  • Domestic and international airfare is NOT included in the published cost of the trip.
  • Pay 1,675 of the total cost AND upload all of your required documents and forms to be eligible to fly on the international group ticket.
  • Submit your flight choice as “economical” or “premier” in your account.
  • Approve the ticket that IMR is going to purchase on your behalf and complete the purchase with IMR's approved travel agency.
  • The cost of airport transfers are included in the cost of your ticket!

After Mar 5th, 2019: You may still be able to join the group flight on a space-available basis only

    • Pay 1,675 of the total cost AND upload all of your required documents and forms by Mar 5th, 2019
    • Contact the office to see if group tickets are still available.
    • Submit your flight choice as “economical” or “premier”, approve the ticket, and complete the purchase with IMR's approved travel agency.  
    • The cost of airport transfers are included in the cost of your ticket!
    • You will need to purchase your domestic roundtrip ticket after your international flight is ticketed and confirmed.
May I purchase my own international flights?

Yes! Purchasing your own international flights provide you with maximum travel flexibility! 

  • Some trips may require an international flight and a domestic flight in country to meet the team.
  • You are required to meet the IMR team at the designated time and location per the trip itinerary
  • Submit your flight choice as “independent”.
  • You have many options for extending your stay including extended stays available through IMR’s preferred travel agency, Worldwide Navigators
  • If you would like to request airport transfers at an additional cost, please click on the link to send an email to the IMR office.

Extended Stays - Trip of a lifetime!!

May I book an extended stay through IMR if I choose the group flight?


Contact Worldwide Navigators to see your options

May I book an extended stay through IMR if I choose to book my own tickets?


Sleeping the way you want to!

What are the sleeping arrangements?
  • Triple or double twin bed rooms are standard on IMR trips. This is part of our safety and security policies.
  • Each volunteer has their own bed (no shared beds outside of couples). 
  • Let  the IMR Office know if you are a family or couple.  We always try to accommodate our volunteer’s needs!  Please use the link to email our office. 
  • IMR does not discriminate in any way – please let us know your rooming needs.  
  • Please understand if we are unable to accommodate your specific needs based on availability at the hotel or lodging on your trip. 
Are single rooms available?


  • Contact the IMR Office to find out if single rooms are available and at what cost
  • Standard IMR sleeping arrangements are double or triple rooms, twin beds

Sleeping the way you want too!!

Travel Assistance

If you would like help booking flights, hotels, extended stays, and more contact Worldwide Navigators at (970) 633-3033.

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 Mar 5th, 2019.
      • Early Bird Special: A discount of $200 is awarded to team members who raise / pay 50% of the Minimum Donation Amount on or before Mar 5th, 2019.
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!