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1991-174
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1991-174
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Last modified
5/19/2017 12:52:50 PM
Creation date
5/19/2017 12:51:09 PM
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Resolutions
Resolution Number
1991-174
Approved Date
11/19/1991
Resolution Type
Emergency Services
Florida Department of Health and Rehabilitative Services
Entity Name
Matching Grant Awards
Subject
Emergency Medical Services
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15. Medical director's signatures: Skip this item if your project b not a Medical Rescue • <br />Equipment or Professional Education Project. <br />a. Professional Education <br />All continuing education described in this application is developed and conducted <br />with my input and approval. <br />Medical Director's Signature <br />Medical Director's Printed Name <br />Date <br />b. Medical Equipment Projects: <br />I hereby accept authority and responsibility for the use of Medica! Anti -Shock <br />Trousers (MAST), Esophageal Obturator Airways (EOAs) semi-automatic and automatic <br />defibrillators, AIS equipment identUled in Chapter 10D-66, F.A.C., and equipment not <br />identified in Chapter 10D.66, F.A.C. <br />Medical Director's Signature <br />Medical Director's Printed Name <br />Date <br />c. I hereby acknowledge that the applicant responds routinely to rescue or medical <br />incidents under written agreement with my licensed EMS system. <br />Nov. 13, 1991 <br />Medical Director's or Authorized Person's Signature Date <br />Roger J. Nicosia, Jr. D.O. <br />Printed Name <br />
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