REFLECTIVE DISCUSSION FORM
You must use this form to record your reflective discussion with another NMC-registered nurse or midwife about your five written reflective accounts.
To be completed by the nurse or midwife:
Name:
NMC Pin:
To be completed by the nurse or midwife with whom you had the discussion:
Name:
NMC Pin:
Email address:
Professional address:
Date of discussion:
Short summary:
Contact number:
Declaration
I confirm I have completed a reflective discussion. Signature


Date
Your reflective discussion is private and visible only to you when logged in. You can view your reflective entries HERE