Position Chart Attestation For Free

I do hereby attest that this information is true, accurate and complete to the best of my knowledge and I understand that any falsification, omission, or concealment of material fact may subject me to administrative, civil, or criminal liability.?

? Teaching Physician Attestation Example: ?I saw and evaluated this patient [with the resident] and agree with the resident's findings and plan of care as documented by the resident or edited by me.?

I do hereby attest that this information is true, accurate and complete to the best of my knowledge and I understand that any falsification, omission, or concealment of material fact may subject me to administrative, civil, or criminal liability.?

In essence, they're a form completed by a third party (i.e. someone not related in any way to those signing the original document). An attestation form can be useful in any situation where a legal document needs supporting evidence to prove it's authentic and legally valid.

?I _(print full name of the physician/practitioner)___ , hereby attest that the medical record entry for ___(date of service)__accurately reflects signature/notations that I made in my capacity as ___(insert provider credentials, e.g. M.D.)__ when I treated /diagnosed the above listed Medicare beneficiary.

Attestation is a kind of testimony or confirmation. It is customary to sign a deed, make a will or sign other written documents in the presence of a witness who also signs the document to attest to its contents and the authenticity of the party's signature.

'Signed in my presence by ........ (name of person) ..... and I hereby certify that the contents of this document were read over and explained to the said ..... (name person again) ......... who, to the best of my belief, understood the nature and effect thereof.

Include your relationship to the person and any applicable certifications you have. For example, if you're writing an attestation letter for a former employee, you might begin by describing your job title in the company and how long you've been working there.