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BLUE SKIES GUEST FAMILY CONSENT TO RELEASE INFORMATION inpatient INFORMATION/MEDICAL CLEARANCE FORM Page 1 of 2TO BE COMPLETED BY APPLICANT:Child\'s Legal Name:Retreat Date Requested:I consent medical/psychosocial information be released to Blue Skies for the purpose of a Family Referral to attend the
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Start by accessing the NBNA Salutes Nurses form online.
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Provide your personal information, including your full name, contact details, and address.
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Indicate your current role or profession in the healthcare field.
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Specify your NBNA membership status, whether you are a member or non-member.
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In the 'Reason for nomination' section, explain why you are nominating the nurse for recognition.
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NBNA Salutes Nurses is a program that recognizes and honors the contributions of nurses in the community, focusing on their dedication and impact on healthcare.
Registered nurses and licensed practical nurses who are participating in or being recognized through the program are required to file.
To fill out the NBNA Salutes Nurses application, individuals should complete the provided form with personal and professional information, detailing their contributions and achievements in nursing.
The purpose is to celebrate and honor the professional achievements of nurses, promote awareness about the nursing profession, and inspire others within the community.
Applicants must report their personal information, nursing qualifications, work history, community service, and any accolades or recognitions received.
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