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Annual FWA Attestations

Instructions:

All providers are required to complete the FWA attestations to be initially enrolled in any network. Going forward, all providers are required to reaffirm FWA training by completing FWA attestations on an annual basis. Please download and complete this form:

FWA Attestation

Please email all completed annual FWA attestations to our direct inbox at FWAattestation@pdmi.com.