INSERT NAME OF ORGANISATION for the above named health care professionals who have signed the PGD to work under it. Name Designation Signature Date Note to authorising manager through unused rows in the list of practitioners to prevent practitioner additions post managerial authorisation. This authorisation sheet should be retained to serve as a record of those practitioners authorised to work under this PGD.
INSERT NAME OF ORGANISATION for the above named health care professionals who have signed the PGD to work under it. Name Designation Signature Date Note to authorising manager through unused rows in the list of practitioners to prevent practitioner additions post managerial authorisation. This authorisation sheet should be retained to serve as a record of those practitioners authorised to work under this PGD.
20170510PHEPGDMenACWYv0200.docx