This document contains health occupations-related materials to help teachers and parents teach access skills to Missouri junior high and high school special needs students who want to pursue a vocational program in that occupational area. Access skills are defined as those skills needed to access vocational education programs and be successful in the world of work. An introduction explains this document's relationship to other documents about Missouri vocational education and describes the document's contents. The next section introduces the health occupations area and lists five occupations within it as examples. Competencies for 24 competencies of the health services assistant occupation are included. The Health Occupations Access Skills Checklist appears next, with 34 tasks descriptions and space in which a teacher can record student mastery of them. The next section defines words relevant to health occupations. The next section contains instructional materials that parents and teachers can use to teach access skills involving math, physical demands, work environment, aptitudes, and temperament that are relevant to health occupations. Most activities are intended to be easily used as goals or objectives on students' Individualized Education Plans (IEPs). Included in the materials are task analysis sheets that contain the sequential steps necessary for competence in a specific skill, instructional directions that suggest how to teach each step in the task analysis and include a list of resources needed. Worksheets for students and teachers and a four-item bibliography complete the guide. (CML)