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Return this Form to: Marquita Williams
1600 JFK Blvd. Suite 1800  Philadelphia, PA 19103-2899
215-239-3620 Phone  215-239-3642 Fax
Name of Facility:
CE ACTIVITY (Webinar): How to Develop an Evidence-Based Nursing Research Project for Home Health Care
Lois Marshall, PhD, RN, May 19, 2015; 1 PM Eastern
**Facility Contact Name:
Arrival Time
(AM/PM)
Phone Number
Email Address:
Name and Credentials (Printed)
(as it will appear on certificate)
Phone Number:
Email Address*
(where certificate will be sent)
Initial to
confirm
information
is accurate
* Certificates for groups of 5 or more will be sent to head registrant
** Unique Identifier
Elsevier/Mosby is accredited as a provider of continuing nursing education by the American Nurses Credentialing Centers’ Commission on Accreditation
CE ACTIVITY (Webinar): How to Develop an Evidence-Based Nursing Research Project for Home Health Care; May 19, 2015
Arrival Time
(AM/PM)
Phone Number
Name and Credentials (Printed)
(as it will appear on certificate)
Email Address*
(where certificate will be sent)
Initial to
confirm
information
is accurate
* Certificates for groups of 5 or more will be sent to head registrant
** Unique Identifier
Elsevier/Mosby is accredited as a provider of continuing nursing education by the American Nurses Credentialing Centers’ Commission on Accreditation
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