[The assurance] would be in the form of a signed and dated ... or all individuals [with] certain health insurance coverage.” Moreover, the attestation “must include a clear statement that ...

The attestation form is only a model and is not legally required. Similar to a HIPAA authorization, attestations for reproductive health care information can be obtained and executed electronically.

president and CEO of Conway Regional Health System, told Becker's Hospital Review in an interview Wednesday. "Thus," Troup went on, "we provided a religious attestation form for those individuals ...