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Get Certificate Of Attestation
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How to fill out the Certificate Of Attestation online
The Certificate Of Attestation is an important document for Hemodialysis Centers or Clinics applying for the license to operate or seeking accreditation. This guide will assist you in completing the form accurately and thoroughly, ensuring all necessary information is included.
Follow the steps to complete the Certificate Of Attestation online.
- Click ‘Get Form’ button to access the Certificate Of Attestation. This action will open the form in an editable format.
- Begin by filling out the Information Sheet. Input the name, address, email, and contact numbers of your Hemodialysis Center.
- Specify the purpose of the Certificate. Indicate whether you are applying for a DOH license or Philhealth accreditation, and provide the inclusive dates for each.
- Classify your Hemodialysis Center by checking the appropriate box based on ownership (Government or Private) and institutional character (Hospital-based or Non-hospital-based).
- Enter the name of the Owner, President, or CEO, and ensure that they sign and print their name along with their designation.
- Provide the name of the Dialysis Unit Head/Head Nephrologist and attach the Certificate of Dialysis management training, ensuring their signature and printed name are included.
- List all Physicians on Duty. For each physician, note their name, category, and the validity of their training certificate issued by PSN. Use additional sheets if necessary and provide the required details.
- At the end of the form, a representative must certify that the information provided is true, signing with their printed name and the date.
- Once completed, review the form for accuracy. Save your changes, then download, print, or share the Certificate Of Attestation as needed.
Complete your documents online today to ensure a smooth application process.
A certificate attestation is done by following specific procedures to validate the authenticity of a document. This typically involves reviewing the document, verifying its contents, and gathering supporting evidence. An authorized professional or agency will then issue a Certificate Of Attestation once the verification process is complete, attesting to the document's validity.
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