Get Attestation Form

Filling out the Attestation Form is an essential process for residents at MedStar Montgomery Medical Center. This guide will walk you through each section of the form, ensuring you complete it accurately and efficiently.

Follow the steps to complete the Attestation Form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the name of the applicant in the designated field. This should be the full legal name of the resident who is being attested for.
3. In the certification section, confirm that the applicant has no health problems that would affect their performance. You may check any necessary medical documentation to ensure accuracy.
4. Verify and note that the flu shot and PPD have been administered within the last 12 months. This is crucial to demonstrate compliance with health requirements.
5. Clearly state there is no evidence of infectious or communicable diseases, including tuberculosis, in the comments section if applicable.
6. Print the name of the practitioner completing the form in the designated field. This should be the name of the primary care physician or relevant health department personnel.
7. Sign the form in the signature area where indicated to validate the attestation.
8. Enter the date of completion in the space provided to ensure the form is current.
9. After ensuring all sections are accurately filled, take the option to save changes, download, print, or share the completed form as required.

Start completing your Attestation Form online today to ensure a smooth residency application process.