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The Florida Department of Health works to protect, promote, and improve the health of all people in Florida through integrated state, county, and community efforts.

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Search results for: verify a license in category "Documents (PDF, Word, etc.)"

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549 results found containing all search terms. 2038 results found containing some search terms.

259 pages of results.
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Telehealth Provider Registration App- Updated 5272022 [Documents (PDF, Word, etc.)]
... locating a registered agent, only to verify the registered agent status of the individual ... Email Address: ____ 2. LICENSE REGISTRATION INFORMATION To qualify as a telehealth ...
Terms matched: 2  -  1017k  -  URL: https://www.floridahealth.gov/licensing-and-regulation/genetic-counseling/applications-and-forms/_documents/application-telehealth-provider-registration.pdf
Change-Name-Form [Documents (PDF, Word, etc.)]
... , we ask for specific information to verify your identity. Incomplete requests will not ... A copy of a state issued marriage license that includes the original signature and seal ...
Terms matched: 2  -  724k  -  URL: https://www.floridahealth.gov/licensing-and-regulation/genetic-counseling/applications-and-forms/_documents/Change-Name-Form.pdf
Change of Address Form - Genetic Counseling - 11-20-2023 [Documents (PDF, Word, etc.)]
... , we ask for specific information to verify your identity. Incomplete requests will not ... flhealthsource.gov/mqa-services. *Profession and License Number: *Name (as printed ...
Terms matched: 2  -  776k  -  URL: https://www.floridahealth.gov/licensing-and-regulation/genetic-counseling/applications-and-forms/Change_of_Address_Form_Genetic_Counseling_11-20-2023.pdf
dh5068-911pstrenewalchangeofstatus0715 [Documents (PDF, Word, etc.)]
... must submit with this form a photocopy of one of the following: a marriage license (marriage license must indicate the original signature and seal from the clerk of ...
Terms matched: 1  -  69k  -  URL: https://www.floridahealth.gov/licensing-and-regulation/911-public-safety-telecommunicator-program/_documents/dh5068-911pstrenewalchangeofstatus7-2015.pdf
Florida Department of Health [Documents (PDF, Word, etc.)]
... . Each applicant may receive a scheduled or unscheduled site visit by the department to verify that the information submitted within this application is true and correct. H. ...
Terms matched: 1  -  137k  -  URL: https://www.floridahealth.gov/licensing-and-regulation/911-public-safety-telecommunicator-program/_documents/dh5067_911PST.pdf
Instructions for Other Payers to Process Employee Payments [Documents (PDF, Word, etc.)]
... invoice number you wish to review or modify. e. To get started, verify the certificate holders' information with your records then press "edit" to ...
Terms matched: 1  -  969k  -  URL: https://www.floridahealth.gov/licensing-and-regulation/emt-paramedics/renewal/_documents/other-payer-process.pdf
APPLICATION FOR [Documents (PDF, Word, etc.)]
... Phone Number ____ Mailing Address City State Zip Code ____ Date of Birth License Number (EMT's and Paramedics only): ____ I have or reasonably ...
Terms matched: 1  -  147k  -  URL: https://www.floridahealth.gov/licensing-and-regulation/emt-paramedics/applications-and-forms/_documents/app-insect-emt.pdf
good-stand-emt.pdf [Documents (PDF, Word, etc.)]
... STATEMENT OF GOOD STANDING This form is used to verify the good standing of EMT or Paramedic certification applicants who are currently certified by another state, United States ...
Terms matched: 1  -  22k  -  URL: https://www.floridahealth.gov/licensing-and-regulation/emt-paramedics/applications-and-forms/_documents/good-stand-emt.pdf
Change-Name-Form.docx [Documents (PDF, Word, etc.)]
... , we ask for specific information to verify your identity. Incomplete requests will not ... A copy of a state issued marriage license that includes the original signature and seal ...
Terms matched: 2  -  802k  -  URL: https://www.floridahealth.gov/licensing-and-regulation/emt-paramedics/applications-and-forms/_documents/change-name-form.pdf
Change-Name-Form -EMT-Paramedic- 11-27-2023 [Documents (PDF, Word, etc.)]
... , we ask for specific information to verify your identity. Incomplete requests will not ... A copy of a state issued marriage license that includes the original signature and seal ...
Terms matched: 2  -  728k  -  URL: https://www.floridahealth.gov/licensing-and-regulation/emt-paramedics/applications-and-forms/Change-Name-Form-EMT-Paramedic-11-27-23.pdf
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