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*22036619999×DR 0366 (06/14/21) COLORADO DEPARTMENT OF REVENUE Tax.Colorado.gov Page 1 of 12022 Rural & Frontier Health Care Preceptor Credit Preceptors Last Name Year SSN or ITINMiddle InitialPreceptors
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Fill out the sections related to your availability and willingness to serve as a preceptor in rural and frontier communities.
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Medical students or healthcare professionals who are interested in serving as preceptors in rural and frontier areas.
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Individuals who are committed to addressing the healthcare needs of underserved populations in remote communities.
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Those who are willing to provide mentorship and guidance to students or professionals seeking clinical training in rural settings.
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Rural and frontier preceptor refers to a program that aims to provide clinical training for healthcare professionals in underserved areas.
Healthcare facilities and providers participating in the rural and frontier preceptor program are required to file the necessary paperwork.
Healthcare facilities and providers can fill out the rural and frontier preceptor forms provided by the program administration.
The purpose of the rural and frontier preceptor program is to improve access to healthcare services in underserved areas by training healthcare professionals.
Information such as the number of preceptors, training hours, and areas served must be reported on the rural and frontier preceptor forms.
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