Thank you for your interest in a clinical rotation at HCC of Rural Missouri and the Live Well Community Health Clinics.  Please fill out the following request form. 

The following forms are required ONCE YOUR REQUEST HAS BEEN APPROVED:

  • Student Registration From

  • Signed Confidentiality Form

  • HIPAA worksheet (attached presentation reviewed)

  • School Liability/Insurance Information

  • Immunization Schedule with TB

  • Background check from school (if available


Please submit all forms to Stephanie Taylor at

Once approved, please complete the following forms and return to Stephanie Taylor,

Call to talk with us today!



Health Care Collaborative of Rural Missouri

825 S. Business Hwy 13

Lexington, MO 64067

Call:  816-617-2353

Fax: 660-251-0519