CMS COVID-19 Health Care Staff Vaccination Requirements

CMS COVID-19 Health Care Staff Vaccination Requirements

Continuing Education Attestation Form Nursing Home Administrator

Date of Event

First Name

Last Name

Facility Type

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Assisted Living

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Home Health

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Hospitals

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Long Term Care

Select or enter value

System

Select

Address

Email

Are you submitting attestation for Nursing Home Administrator hours?

Select

Amount of Contact Hours

Send me a copy of my responses

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