Thank you for your interest in completing a clinical rotation or Internship with HCC Network.  

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Once approved, the following items will be required. 

 

Please complete and submit the following documents below along with Two forms of Government ID (driver's license, birth certificate, SS Card):

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• Background Consent form

• Confidentiality Agreement

• Drug Test Consent form

• Emergency Contact form

• Equipment Terms form

• Flu Immunization Form

• Gratuitous Agreement

• Policies and Procedures

• Student Registration Form

• Student Handbook Acknowledgement and Receipt

• TB Immunization Form

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At the end of the rotation, please complete the following:

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• Exit interview for rotation

• Evaluation form

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Please print, complete scan and email forms to Stephanie.taylor@hccnetwork.org.

Please forward any questions or comments to Stephanie at the email above or call 816-617-2353.