Outstanding Communicator Validation
The completion of this electronic form confirms you have completed the activities as outlined for the Outstanding Communicator badge. The entry of your name and email is acknowledgement and "electronic signature" validating the below responses are correct.
Sign in to Google to save your progress. Learn more
First and Last Name *
Email address *
Class/Year *
Read the Joint Commission Advancing effective communication, cultural competence, and patient- and family-centered care: A roadmap for hospitals *
Date of completion of ATI Nurse's Touch Communication Module and Practice Test *
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms