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REFLECTIVE DISCUSSION
You must use this form to record your reflective discussion with another NMC-registered nurse or midwife.
To be completed by the nurse or midwife:
Name: yvonne ashcroft the best
NMC Pin: 00556606
To be completed by the nurse or midwife with whom you had the discussion:
Name:sarah mcneil the boss
NMC Pin:40596979
Email address:yvonneuk@msn.com
Professional address:trafford general hospital urmston
Date of discussion:2025-12-10
Short summary of discussion: had a discussion aout stuff
Contact number:0161 746 2115
Declaration
I have discussed five written reflective accounts with the named nurse or midwife as part of a reflective discussion. Signature:
trevor rockafella ding gona

Date:
2025-12-08
NMC Revalidation combined forms and templates
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