div class=trans-pagebuttonPage 1button div class=trans-image amp-img class=trans-thumb alt=Page 1: This Entire Document Must Be Completed Before Submitting I certify that I am the physicianpractitioner identified on this form I have reviewed the Certificate of Medical Necessity src=https:reader030fdocumentsinreader030viewer20220406005e8b38423e90406bff1699bdhtml5thumbnails1jpg width=142 height=106 layout=responsive amp-img divpThis Entire Document Must Be Completed Before Submitting for Insurancepdiv