BRIEF INTERVENTION FOR SMOKING CESSATION
Date
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Location
Facilitators
Print Name (BLOCK CAPITALS) Signature Professional Registration No.
Attendance Register
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BRIEF INTERVENTION FOR SMOKING CESSATION
Date
/ /
Print Name (BLOCK CAPITALS) Signature Professional Registration No.
Attendance Register (continued)
BRIEF INTERVENTION FOR SMOKING CESSATION
Date
/ /
Print Name (BLOCK CAPITALS) Signature Professional Registration No.
Attendance Register (continued)