Download Complete HVA Recertification Package Here - asdin 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin with Part 1, reviewing the HVA Recertification Criteria. Ensure you meet all requirements before proceeding.
  3. In Part 2, fill out the Application for HVA Recertification Form. Provide your identifying information, including your name, date of birth, and NPI number.
  4. Select your recertification category: Broad Category or Hemodialysis Catheter Placement Only. If applicable, check any advanced procedures you wish to maintain or add.
  5. Complete the Practice Information section with details about your current practice and medical facility affiliations.
  6. Sign and date the application to certify that all information is accurate. Ensure no patient identifiers are included in any submitted documents.

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