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Community Assessment

Complete and submit the “Provider Interview Acknowledgement Form” prior to conducting your interview for the Community Assessment and Analysis Presentation assignment.

The “Provider Interview Acknowledgement Form” is a clinical document that is necessary to meet clinical requirements for this course. Therefore, the acknowledgement form should be submitted with the provider’s hand-written signature. A typed, electronic signature will not be accepted.

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    NRS-428VN-RS4-Provider-Interview-Acknowledgement-Form.doc

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