STATEMENT OF APPROVAL. We, the undersigned, agree to the terms of this agreement as set forth in this document. APRN Printed Name: APRN’s Signature: Date:
Appears in 4 contracts
Samples: Nurse Protocol Agreement, Nurse Protocol Agreement, Nurse Protocol Agreement
STATEMENT OF APPROVAL. We, the undersigned, agree to the terms of this agreement as set forth in this document. APRN Printed Name: APRN’s Signature: Date: Delegating PHY Printed Name: Delegating PHY Signature: Date:
Appears in 1 contract
Samples: Nurse Protocol Agreement