HEAS 1000 CH01 CIA-20v1-Video Submission Form PDF

Preview

Summary

Sample client label for practicing video submissions for health assessment clinicals...

Description

Practical Nurse Refresher Program CIA Video Submission Form

Instructions: 1.

Save this document to your computer.

2.

Open the saved document from your computer and complete the form using the fillable blanks and drop down menu options.

3.

Save the form to your computer and upload it to the assignment drop box prior to the assignment due date.

STUDENT INFORMATION LAST NAME (LEGAL)

FIRST NAME (LEGAL)

STUDENT ID #

TERM

SECTION

COURSE INFORMATION COURSE

VIDEO HYPERLINK

ACKNOWLEDGEMENT I and the client (if applicable) understand that this video will only be utilized for the purpose of providing student feedback and will remain confidential. I and the client (if applicable) also understand that this video is for teaching and learning purposes only and is not intended to act as or replace the care of a license health care provider.

Page 1 of 1

NorQuest College – CIA Video Submission 2020.v1...