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ARDI

This document is an attestation form from Jaya P. Ebuen of DOH-MMCHD validating Ardi Health Services Inc.'s submission through the Health Emergency Allowance Processing System. It confirms that Ardi Health Services Inc.'s submission was thoroughly verified and validated. It also states that the validation was based solely on the information provided by Ardi Health Services Inc. and guided by relevant laws and regulations. Proper diligence was observed in the validation process.

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jai ebuen
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54 views

ARDI

This document is an attestation form from Jaya P. Ebuen of DOH-MMCHD validating Ardi Health Services Inc.'s submission through the Health Emergency Allowance Processing System. It confirms that Ardi Health Services Inc.'s submission was thoroughly verified and validated. It also states that the validation was based solely on the information provided by Ardi Health Services Inc. and guided by relevant laws and regulations. Proper diligence was observed in the validation process.

Uploaded by

jai ebuen
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ATTESTATION FORM OF CHD VALIDATORS

I, JAYA P. EBUEN, DMO IV, a duly authorized representative of DOH - MMCHD do


hereby declare and attest to the following:

1 . That the submission of A R D I H E A L T H S E R V I C E S I N C , .in NATIONAL


CAPITAL REGION had undergone thorough verification and validation by the
management of this facility as manifested in their attestation form.

2. That this submission through the Health Emergency Allowance Processing


System (HEAPS) had been validated based solely on the information made
available by the facility and guided by the provisions of Republic Act 11712
“Public Health Emergency Benefits and Allowance for Health Care Workers Act”,
its implementing rules and regulations and supplemental guidelin. Should the
actual facts be different from the information contained in the submitted CREC
report to which this CHD/FICT/MST is not in position or no capacity to verify, the
facility shall bear sole responsibility therewith.

3. That proper exercise of diligence had been observed in the validation of this
submission and in consideration of the presumption of regularity.

Done this 25th day of June, 2023 in DOH-MMCHD.

By:

JAYA P. EBUEN, RN

DMO IV

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