Medical Malpractice Payer, Peer Review Organization, or Private Accreditation Organization Attestation

National Practitioner Data Bank for Adverse Information on Physicians and Other Health Care Practitioners: 45 CFR Part 60 Regulations and Forms

OMB: 0915-0126

IC ID: 245414

Documents and Forms

Document Name Document Type
Form 43 Medical Malpractice Payer, Peer Review Organization, or Private Accreditation Organization Attestation Form and Instruction
43 Medical Malpractice Payer Attestation.pdf Medical Malpractice Payer Attestation.pdf Form and Instruction