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Date___________________ Signed__________________ Designation______________

Insert provider organisations logo here. This Is To Certify ”Name of Organisation” Has received the full Six Steps to Success End of Life C are Programme delivered by INSERT PROVIDER ORGANISATION

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Date___________________ Signed__________________ Designation______________

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  1. Insert provider organisations logo here This Is To Certify”Name of Organisation” Has received the full Six Steps to Success End of Life Care Programme delivered by INSERT PROVIDER ORGANISATION All staff at _______________are committed to sustaining the Six Steps Programme and will provide on-going evidence of this in a practice portfolio Signed__________Manager Date___________________Signed__________________Designation______________

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