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FNP_NU550_Family Student Contract (1) (2)

FNP_NU550_Family Student Contract (1) (2).docx

FNP_NU550_Family Student Contract (1) (2)

NU550 Family and Community Context for Health Care
Guide for Family Student Contract
This form is to be used as a guide for the family and the student to identify the purpose of each home visit and to establish the family and student responsibilities for each visit. It is to be used to assist the family and the student in the development of the contract.
PURPOSE OF THE HOME VISITS (each visit):
Visit 1:
Visit 2:
Visit 3:
STUDENT RESPONSIBILITIES (each visit):
Visit 1:
Visit 2:
Visit 3:
FAMILY RESPONSIBILITIES (each visit):
Visit 1:
Visit 2:
Visit 3:
SIGNATURES (each visit):