Thank you for your interest in a shadowing a provider at Health Care Collaborative of Rural Missouri and the Live Well Community Health Centers.  Please print and fill out the following documents and submit to Chelsea Bargfrede via email at chelsea.bargfrede@hccnetwork.org. 

  • Student Information Form

  • Confidentiality Agreement

  • HIPAA worksheet (please review HIPAA powerpoint)

  • Parental Consent form (for those under 18)

  • Policies and Procedures

  • Updated TB test and Flu shot.