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RotaCare Volunteer Forms

Below are links so you can download the forms necessary to be a volunteer at any of the RotaCare Bay Area Inc. clinics. Please make sure that you speak to the Volunteer Coordinator of the clinic prior to reading and filling out these forms. 

Note that some of the forms are for your review, while others will need to be completed, signed and returned to the volunteer coordinator of the clinic. It is important that you read all of the forms carefully and discuss any questions you may have with the volunteer coordinator. 

Thank you for your interest in becoming a volunteer with RotaCare Bay Area Inc.


1.  Orientation Checklist
2.  Volunteer Manual/Handbook
3.  Purpose of Volunteer Handbook
4.  Receipt of Volunteer Handbook
5.  Abuse Policy Handbook
6.  Abuse Reporting Responsibilities
7.  HIPAA Presentation
8.  HIPAA Basics
9.  HIPAA Training Attestation
10. Confidentiality Agreement
11. Waiver of Liability
12. Job Injuries Release Form
13. TB & Health Assessment Form
14. Standard Model Release
15. Influenza Vaccination Declination Form
14.  For PA:  Signed PA Agreement
15.  For NP:  Signed NP Agreement
Standard Volunteer Application – For Non-Medical Provider Volunteer
Medical Provider Application – For MD, DO, PA, NP ONLY

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