Recovery Group log sheet - weba
Office of Professional Regulation
RECOVERY GROUP ATTENDANCE LOG
Vermont Board of Nursing
89 Main St – 3
Montpelier, VT 05620-3402
This log covers the current quarter (please check one): ___Jan–Mar ___Apr–Jun ___Jul–Sept ___Oct–Dec
Submit the log to the Board of Nursing office quarterly, within 7 days after the end of the quarter—due dates are
April 7, July 7, October 7, and January 7.
Date of Meeting Location of Meeting
Type of Meeting
Signature of your sponsor or
another attendee on this date
I certify by my signature that I have attended all of the meetings listed above.
Your Signature Your Name Printed
This is page _____ of _____ sheets for this quarter.