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Certification for Healthcare Workers (nurses) addendum

(TO BE COMPLETED BY CLIENT’S INSTITUTION ONLY)

Client’s Name: Elizabeth Zabala

Institution: Colegio Universitario Instituto Vision Tecnologica
Address: Rivadavia757,Moreno 762,Santa Rosa , La Pampa, Argentina,L6300
Date of Graduation: Octubre, 22 / 2015
Language of Instruction: Español
Language of Textbooks: Español
Language for Clinical Experience: Español
Applicant’s License/Permit Number: 3912
- Date Issued and Date of Expiration: Octubre 18 / 2021, No expiration

Was the nursing license ever revoked or suspended? X No Yes (on what date?)

(Please note if this information is not available or does not exist)

Nursing Education Categories Theory Clinical List course in which these topics are
Clock Clock integrated:
Hours Hours
Introduccion a la Enfermeria
Medical: 486 452 Enfermeria I – Practica Profesional I-
Practica Profesional II
Enfermeria de la Familia
Surgical: 221 150 Practica Profesional I

Enfermeria de la Familia
Obstetric: 221 226 Enfermeria del Niño y Adolescente
Practica Profesional II
Enfermeria del Niño y Adolescente
Pediatric: 256 226 Practica Profesional II

Psicologia
Psychiatric / Mental Health: 286 452 Enfermeria en Salud Mental
Practica Profesional I- Practica Profesional II
Enfermeria del Adulto y Anciano
Geriatric: 365 226 Practica Profesional III

Total number of Theory Clock hours completed: 1835 hrs.

Total number of Clinical Clock hours completed: 1732 hrs.

PLEASE INCLUDE COURSE DESCRIPTIONS, INCLUDING HOURS OF INSTRUCTION

(THEORY AND CLINICAL) OF ALL SUBJECTS LISTED IN THIS CHART.

Josef Silny & Associates, Inc.

International Education Consultants
7101 SW 102 Avenue
Miami, Florida 33173
Tel: (305) 273-1616 Fax: (305) 273-1338
Email: info@jsilny.org
www.jsilny.org
07/7/2022
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Please provide us with your name, title, signature and institutional seal for our records.

Name Title

Stamp:

Date:

The institution MUST send the completed charts along with the official student’s graduation diploma(s), transcripts and
course descriptions DIRECTLY to:

Josef Silny & Associates, Inc.

International Education Consultants
7101 SW 102 Avenue,
Miami, FL 33173
USA

Josef Silny & Associates, Inc.

International Education Consultants
7101 SW 102 Avenue
Miami, Florida 33173
Tel: (305) 273-1616 Fax: (305) 273-1338
Email: info@jsilny.org
www.jsilny.org
07/7/2022