Get Psn Certificate Of Attestation For Hdc/ Pdc

The PSN certificate of attestation is essential for hemodialysis and peritoneal dialysis centers seeking to obtain a license or accreditation. This guide will walk you through the process of filling out this certificate online, ensuring you complete each section accurately and efficiently.

Follow the steps to complete your PSN certificate of attestation online.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Begin filling out the information sheet by entering the name, address, email, and contact numbers of your hemodialysis or peritoneal dialysis center.
3. Indicate the purpose of the PSN certificate of attestation and specify the periods for DOH license and Philhealth accreditation.
4. Select the appropriate classification of your HDC/PDC by checking the corresponding box for ownership and institutional character.
5. Fill in the name of the owner, president, or CEO, and include their signature over printed name and designation.
6. Provide the name of the dialysis unit head or head nephrologist, and attach the certificate of dialysis management training if required.
7. List the printed names of all physicians on duty along with the validity of their training certificates. Specify their categories and any additional information required.
8. Review all information for accuracy, ensuring each section is complete. Certify the information by having the dialysis unit head sign and date the form.
9. Save your changes, and you can choose to download, print, or share the completed form.

Complete your PSN certificate of attestation online today to ensure your application is processed efficiently.