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Certificate of Completion Template 01

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Name of Your Agency/Organization/Program

Certificate of Completion
This is to document that

Name of Recipient
has successfully completed the 12 -Hour curriculum requirement for

Medication Assistant Certification (MAC-1)


with a passing score on: ___________ at ________________
Date Name/Location of Facility

Presented By: , RN or LPN


Signature of MAS Certifying Nurse/ Instructor

______________________________________________
Signature of Participant

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