This is a legal form that was released by the Alaska Department of Health and Social Services - a government authority operating within Alaska. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is FORM CERT-05?A: FORM CERT-05 is a service declaration for Nursing Oversight and Care Management Services in Alaska.
Q: What does FORM CERT-05 include?A: FORM CERT-05 includes information about nursing oversight and care management services in Alaska.
Q: Who is this form for?A: This form is for healthcare providers offering nursing oversight and care management services in Alaska.
Q: What is the purpose of this form?A: The purpose of this form is to declare the provision of nursing oversight and care management services in Alaska.
Form Details:
Download a fillable version of Form CERT-05 by clicking the link below or browse more documents and templates provided by the Alaska Department of Health and Social Services.