Rolling Hills Volunteer Application

Health Policy for Volunteers

Volunteers will NOT provide services if (s)he notes any skin lesions, sores or rash. The volunteer will at his/her discretion, decide if (s)he has a cold or any other communicable diseases and should not come into volunteer or have contact with the residents. If there is any question, the volunteer coordinator will seek the advice of the director of nursing or their designee. A TB test is required for volunteers over the age of 18 that will be in the facility for 10 or more hours a week or 520 hours a year before beginning services.

Volunteer Confidentiality Statement

I have been supplied with the HIPAA (Health Insurance Portability and Accountability Act) privacy act of Rolling Hills. I have read it and understand my job to keep any resident information other than that allowed to me (name, nursing unit, room number) confidential in order to protect the resident. I understand that anyone found to be violating this policy is subject to civil and/or criminal penalties.

Background Check

I have consented and provided my name (first, middle initial, last) and birth date to have Rolling Hills ensure that I have no theft, abuse or violence record that would put residents at Rolling Hills at risk.