CON Medication Math Competency Requirements: Difference between revisions

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<p style="margin-bottom:15px;">I have read the above document and I agree to abide by the requirements stated here.</p>
<p style="margin-bottom:15px;">I have read the above document and I agree to abide by the requirements stated here.</p>


<p style="margin-bottom:15px;">__________________________________                             ____________<br />
<table width="100%">
Student Signature                                             Date</p>
<tr>
<p>__________________________________                             ____________<br />
<td>__________________________________</td>
Faculty Witness                                               Date</p>
<td width="50px">&nbsp;</td>
<td>____________</td>
</tr>
<tr>
<td>Student Signature</td>
<td width="50px">&nbsp;</td>
<td>Date</td>
</tr>
<tr>
<td>__________________________________</td>
<td width="50px">&nbsp;</td>
<td>____________</td>
</tr>
<tr>
<td>Faculty Witness</td>
<td width="50px">&nbsp;</td>
<td>Date</td>
</tr>
</table>