Employee’s Signature: Date: ………………………………………………………… ……………………………… Agreed By: Manager’s Name: Date: ……………………………………………………….. ……………………………… Manager’s Signature: Date: ……………………………………………………….. ……………………………….
Employee’s Signature: ………………………………………………………… Date: ……………………………… Agreed By: Manager’s Name: ……………………………………………………….. Date: ……………………………… Manager’s Signature: ……………………………………………………….. Date: ……………………………….
independent-nurse-prescriber-chorley-detoxification-unit_736570.docx