© 2018 by RotaCare Bay Area, Inc.

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RotaCare Bay Area, Inc. 

Sobrato Center for Nonprofits

514 Valley Way • Milpitas, CA 95035
Phone: 408-379-8000 • Fax: 408-263-8191

info@rotacarebayarea.org

www.rotacarebayarea.org

RotaCare Volunteer Forms

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.

VOLUNTEER FORMS TO REVIEW AND SIGN
Abuse Policy Handbook
Abuse Reporting Responsibilities
Purpose of Volunteer Handbook
Volunteer Manual/Handbook
HIPAA Presentation
HIPAA Basics
Standard Volunteer Application – For Non-Medical Provider Volunteer
Medical Provider Application – For MD, NP, PA ONLY
Health Assessment Form
Job Injuries Release Form
Orientation Checklist
Receipt of Handbook
Proof of TB Status Form Signed by Clinician
HIPAA Training Attestation
Confidentiality Agreement
For PA's:  Signed PA Agreement
For NP's:  Signed P&P for NP's