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Required Hours DIVISION Preparatory Patient Assessment Monitoring Devices Pharmacology/Med Admin/Emergency Meds Immunology/Toxicology Endocrine/Neurology Abdominal/Geni-Renal/GI/Hematology Respiratory Psychiatric Cardiology Shock and Resuscitation Trauma Geriatrics OB/Neonate/Pediatrics Special Needs Patients EMS Operations CIC Number Airway CIC Signature Anatomy/Physiology/Life Span/Public Health Earned TOTALS DOH-5064 06/12 1 of 1.
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The Doh 5064 is a form used for reporting certain information.
Certain individuals and organizations are required to file doh 5064. The specific requirements depend on the jurisdiction.
The process for filling out doh 5064 may vary depending on the jurisdiction. It is best to refer to the instructions provided with the form.
The purpose of doh 5064 is to collect important information for regulatory or statistical purposes.
The specific information required to be reported on doh 5064 can vary, but typically includes details such as name, address, and relevant data.
The exact deadline to file doh 5064 in 2023 may vary depending on the jurisdiction. It is advisable to refer to the provided instructions or contact the relevant authority for accurate information.
The penalties for late filing of doh 5064 can vary depending on the jurisdiction and specific circumstances. It is recommended to consult the relevant regulations or contact the appropriate authority for precise information.
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