Quarterly report – preceptors - Colorado Rural Health Center

Certifier Report for Preceptor Tax Credit - to be filled out at year end

Health professional program and school
Clinical coordinator Person Of Contact (POC)
POC e-mail address
Certification Questions
How many forms did you certify this year?
How many active rural preceptors are working with your program?
Rotation yield this year from rural preceptors?
Additional rural rotations needed in this year?
Prior to 2021, how many of your alumni have been hired by your rural preceptors?
How many of your alumni have been hired by any rural provider?
Of these hires, how many of them have been hired by your rural preceptors since tax credit bill was enacted in 2016?

Certification Questions