This may seem like a very simple picture, but it represents a lot for the clinic in Cayambe. This is the official permit from the local municipality of Cayambe that is currently up in the clinic. Please continue to pray. We are only lacking 1 permit before the clinic can be officially opened! YEAH! Please join us in prayer that the Ministry of Health will grant us this final permit without any issues. It may be baby steps, but God is slowly but surely allowing these permits to come in. Thanks be to God!