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STATE AGENCY REQUEST FOR FUNDING FROM INDIAN RIVER COUNTY <br />FISCAL YEAR 2022-2023 <br />A. Program Cover Page <br />Agency: Florida Department of Health - Indian River <br />Contact Person: Miranda C Swanson, M.P.H. <br />Title: Health Officer <br />Address: 1900 27th Street, Vero Beach <br />Florida, 32960 <br />Website Address: myirchd.org <br />Program Title: Indian River County Health Department <br />Telephone: 772-794-7450 <br />Fax: 772-794-7453 <br />E -Mail: Miranda.Swanson@flhealth.gov <br />I certify that information contained in this application accurately reflects the activities of this agency and <br />that the expenditures or portions thereof for which County funds are being requested are not reimbursed <br />by any other source. <br />Miranda C. Swanson Miranda C. Swanson, Health Officer <br />Signature Print name and title <br />brleT aescrvion OT the Nroaram Tor wnicn tunalna IS reauestecr <br />Continuation of funding to maintain the activities of the cooperatively established Indian River County Health Department as directed <br />by the Florida Statute 154 providing: (a) Disease prevention and control services; (b) Environmental health services; and (c) Primary <br />care services. Specifically, the health department is requesting funds from the county for disease prevention and control (including <br />public health preparedness), and environmental health services. County revenue is being used for essential public health services. <br />The major focus of our agency since late December 2019 has been response to the COVID-19 pandemic. We are in the process of <br />moving our focus back to our regular service delivery while maintaining our ability to respond to surges in COVID-19. We are excited <br />to be adding a satellite site at Dasie Hope to the department in the coming months. <br />summary rteport <br />Amount requested from Indian River County for 2022/2023: $ 775,604 <br />Total Proposed Program budget for 2022/2023: $ 6,822,344 <br />Percent of total Program budget: 11.44 % <br />Current Funding (2021/2022) $775,604 <br />Dollar increase / (decrease) in request: $ 0 <br />Percent increase / decrease in request: 0 % <br />IT request Increasea 5-/o or more, Dnetly explain wny: <br />The Organization's Board of Directors has approved this application on (date): <br />N/A <br />Name of President/Chair of the Board <br />Name of Exec. Director/CEO <br />120 <br />Signature <br />Signature <br />• <br />is <br />