Norfolk

Please print the following forms and submit them via mail or fax to our office.

Please note that FLU SHOTS are needed to shadow between December 1 to March 31. Documentation verifying you have received a flu shot is required for anyone shadowing at the hospital and hospital affiliated clinics and practices. 

Upon receipt of your completed package you will be scheduled for a shadowing experience.

Mailing Address:

Northern Nebraska AHEC
110 North 16th Street, Suite 2
Norfolk, NE 68701
Fax: (402) 644-7254

For additional information please contact: ShadowingCoordinator@nnahec.org

FORMS TO BE COMPLETED