Healthy Moms Healthy Babies MIHP Pilot
Training Attestation Form for MIHP Coordinators


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Email *
Please enter your first and last name below. *
Please enter your agency name below. *
I attest that I have watched the recorded training webinar in its entirety. *
Required
I attest that I have reviewed the program guidance document and the survey administration document. *
Required
I attest that I will adhere to appropriate billing practices. *
Required
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