Florida hospital telephone number
[DOCX File]ABORTION CLINIC .com
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☐ Financial Officer: Name, SSN, date of birth, personal/primary address, email address, telephone number, effective and end dates of employment ☐ Medical Director: Name, Florida Medical License Number, personal/primary address, email address, telephone number, effective and end dates of employment. Disclosures (Application Type: I, R, CHOW, C)
[DOC File]Collaborative Practice Agreement
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Jul 01, 2017 · All prescriptions will include the supervising physician(s) name, name of the patient, APP’s name, telephone number, and approval number, and NC DEA number for controlled substances. Each prescription will include the name of the medication, dose, amount prescribed, directions, number of refills, and the APP’s signature.
[DOC File]TYPICAL FIRE SAFETY INSPECTION VIOLATIONS
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The following is a list of typical violations often found by inspectors and a generic solution. You can use this list to improve the safety of your facility, to prepare for an upcoming inspection, or to develop your own self-inspection program.
[DOCX File]CAA Accreditation Application: Audiology Clinical Site ...
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Telephone Number. e-mail address. Site Website. Any additional contact information. Please select the type of facility. ☐Hospital ☐Private Practice ☐ENT Practice ... Specify: _____ What is the approximate distance of your facility to the University of South Florida, Tampa Campus? ☐1-10 miles ☐11-20 miles ☐21-30 miles ☐31-40 miles ...
[DOC File]Florida Baker Act Forms - Florida Department of Children ...
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Several toll-free telephone numbers you may wish to keep are: Florida Abuse Registry 1 800 96-ABUSE (962-2873) TDD: 1-800-453-5145. Advocacy Center for Persons with Disabilities 1 800 342-0823. Confidentiality of Information and Records
[DOCX File]Florida
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Contact Telephone Number ... Florida License Number (Dept. of Health) ... All the physicians performing abortions have admitting privileges at a hospital within reasonable proximity. The abortion clinic has a transfer agreement with a hospital within reasonable proximity.
[DOC File]Overpayment Notification Sample Letter
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Please contact me at to discuss your method of repayment by . Failure to respond timely will result in the immediate recovery of the overpayment. If you disagree with the amount listed below, you have the right to an immediate Pre-decision Meeting with a person who ...
65C-29
(2) The telephone number from which a call to the Florida Abuse Hotline is placed (Caller ID) shall only be used for subsequent contact in the following circumstances: (a) If the telephone number provided by Caller ID is the same as provided by the reporter.
STATE OF FLORIDA
Facility Name: Telephone Number: Street Address: Fax Number: City: County: Zip: Contact Person: INSTRUCTIONS TO LICENSED HEATLH CARE PROVIDERS. After completion of all items in Sections 1 and 2, return this form to the facility at the address indicated above SECTION 1: Health Assessment
[DOCX File]Okaloosa County Health Department - Florida Department of ...
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APPLICATION FOR FLORIDA DEATH RECORD. Okaloosa County Health Department. 221 Hospital Drive N.E. Fort Walton Beach Florida 32548. Phone: (850) 833-9255. Fax: (850) 833-9275. Monday – Friday 8:00 AM – 4:00 PM
[DOC File]Agent Orange - North Florida/South Georgia Veterans Health ...
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The telephone numbers are 1-800-624-6242 and 202-334-3313. Copies of these books were sent to all VA medical center libraries. Environmental Agents Service. Department of Veterans Affairs. 810 Vermont Avenue, N.W. Washington, DC 20420. Toll-Free Telephone Gulf War/Agent Orange Helpline *** 1-800-749-8387 *** Visit your NF/SGVHS Internet site at:
[DOC File]Florida Department of Health in Jackson
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florida. hospital city county (required) birth file number (if known) date of birth month day year (4 digit) if year is not known enter range of years to be searched in next box. age sex mother’s maiden name (name before marriage) first middle last (maiden) suffix father’s name first middle last suffix
[DOC File]“Example” Collaborative Practice Agreement for Advanced ...
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Home phone number. Business street address Business street address. City, State & Zip of business City, State & Zip of business. Business phone number Business phone number. 2. List of all locations where prescriptive authority is authorized by this agreement. Business street address City, State & Zip of business Business phone number . 3.
[DOCX File]Policy Sample - Licensed Family Child Care Centers
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POLICY SAMPLE – FAMILY CHILD CARE CENTERS. INSTRUCTIONS FOR USE. Use of form: Licensees are required to develop, submit to the department, implement, and provide to parents current written policies and procedures that reflect current practices.
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