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L <br />15. Medical director's signatures: Skip this item if your protect is pni 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 Medical Anti -Shock <br />Trousers (MAST), Esophageal Obturator Airways (EOAs) send -automatic and automatic <br />defibrillators, ALS equipment identified 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 licensedEMS 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 />