Staff Consent Form

Staff Name

Staff Contact

Staff Email

Address

Aadhar No

Height(ft,in)

Weight(Kgs)

Age

Nurse Qualification

ANMGNMBSCMSC
If Attendant, select below
Attendant

Skills
BLSTOTAL PARENTAL NUTRITIONICD CARERYLES TUBE INSERTION AND FEEDINGANTIBIOTIC THERAPYHYDRATIONANTI-FUNGAL THERAPYCRITICAL CAREGENERAL CARETRACHEOSTOMY CAREOTHER

I HAVE GIVEN MY CONSENT AND ACCEPT BELOW TERMS AND CONDITIONS*