Request For Services

New Orleans Medical Mission Services, Inc. (NOMMS) offers surgical medical missions, donates medical materials and provides medical education to qualified charities. To apply for services, NOMMS requires a written request defining the specific services needed by the charity and completion of the Service Document below.

To Request service please click the below links to download and fill out the below forms.
Request For Service Document (English)
Request For Service Document (EspaƱol)


To submit your request, or if you have questions about the services we provide, please email This e-mail address is being protected from spambots. You need JavaScript enabled to view it .