Get Compliance Training - Attestation Form - Sequoia Health Ipa

This guide provides a clear and supportive overview of how to complete the Compliance Training - Attestation Form - Sequoia Health IPA online. By following these steps, you will ensure that all necessary information is accurately recorded.

Follow the steps to successfully complete the Compliance Training - Attestation Form.

1. Click the 'Get Form' button to access the Compliance Training - Attestation Form online. This will enable you to fill out the document in your browser.
2. Begin by reviewing the Compliance Training requirements listed on the form. Ensure that you understand the materials and regulatory laws, including the Agilon Code of Conduct and Compliance Training.
3. In the section labeled 'PRINT NAME', enter your full name clearly as it should appear on the form.
4. Next, sign your name in the 'SIGNATURE' field to indicate your agreement and acknowledgment of the contents reviewed.
5. Fill in your 'PROVIDER OFFICE' with the name or title of your practice or organization.
6. Enter the date you are completing this form in the designated area.
7. Check the box next to the groups you are affiliated with as required on the form.
8. Once all sections are complete, review the form for accuracy. You can choose to save changes, download a copy for your records, print it out, or share it as necessary.

Complete your Compliance Training - Attestation Form online today to ensure compliance.