COURSE ATTENDANCE VERIFICATION |
Participant's Name: sample user |
State and License #: 1234 |
Participant AGD ID#: 1234 |
Course: Creating Your Vision & Getting Your Team Aligned |
SPEAKERS: Dr. Anissa Holmes |
Educational Method: Self StudyCE Hours: 1 |
Educational Type: Self Study |
Course Date: October 4, 2023 |
AGD Code:550 Practice Management and Human Resources |
Verification Code: F100 |
Authorized Signature: |
PARTICIPANTS:
This activity has been planned and implemented in accordance with the standards |
Keep this form for your records.
AGD Members: Delivering Wow will submit attendance verification to the AGD on your behalf. |
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