Shape Chart Attestation For Free

Write the "attention" line: Begin this line with either the abbreviation "ATTN," or the full word "Attention." Then, after a colon, write the person's name. You can either write their full name, or their professional title if you're certain of their preferred gender pronouns.

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.?

Medicare requires that services be authenticated by the persons responsible for the care of the beneficiary. The treating physician's/non-physician practitioner's (NPP's) signature on a note indicates that the physician/NPP affirms the note adequately documents the care provided.

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.

I, , as (Title) for (Name of Company), do hereby attest, based upon my best knowledge, information and belief, that the data provided in the Report(s) is accurate, true, and complete.

Certain types of signatures (e.g., illegible signatures, initials) may require the addition of a ?signature attestation statement? or a signature log to the documentation to ensure the signature's authentication.