We, the undersigned, agree that we have read understood and will comply with the Policy and/or Procedure entitled:

Standing orders, Policies, Guidelines, Red Flags and Examination Templates

Where we did not understand, we sought clarification.

Date: Name Signature: Designation:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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