| Authorized From | [Date] | To Be Completed By | [Date] |
|---|---|---|---|
| Unit Amount | [Amount] | Units Required | [field-value] |
| Units Completed | [field-value] | Units Remaining | [field-value] |
| Completion | [field-value] | Credits Achieved | [field-value] |
| Valid Till | [Date] | Waiver Expiry Date | [Date] |
| Managed Through Agency | [True] | Status | [field-value] |
View Training For Provider Member: [?]
