Get Henry Ford Doctors Note

Completing the Henry Ford Doctors Note is an essential task for users needing to verify attendance at continuing education services. This guide will provide you with clear, step-by-step instructions on how to fill out this document online effectively.

Follow the steps to complete the form accurately.

1. Click the ‘Get Form’ button to obtain the form and access it in your online document editor.
2. In the 'Name' field at the top of the document, enter your full name as it appears on your identification. This is crucial for accurate identification.
3. Next, locate the 'A.A.N.A. ID#' field and input your American Association of Nurse Anesthetists identification number.
4. In the 'Date' section, provide the date on which you attended the continuing education session.
5. Fill in the 'A.A.N.A. CODE#' with the corresponding code related to the continuing education topic you participated in.
6. In the 'Topic' section, specify the title of the continuing education course or session you attended.
7. Enter the 'Expiration Date' relevant to the continuing education credits earned.
8. In the 'C.E. Credits' field, input the number of continuing education credits earned from the session.
9. Finally, ensure that the 'Provider’s Signature' section is signed by the authorized representative. You may need to obtain this signature after filling out the form prior to submission.
10. Review all your entries for accuracy. Once confirmed, you can save changes, download, print, or share the completed form as necessary.

Start filling out your documents online today for a hassle-free experience!