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Get and Sign Florida Shots Form Dh 1479 2007-2022

Get and Sign Florida Shots Form Dh 1479 2007-2022

Get the florida shots login 2007 template, fill it out, eSign it, and share it in minutes.

Mail or fax this form to the address or fax number indicated. If you have any questions regarding completion of the form or about Florida SHOTS please call the phone number provided. Form DH-1479 01-07 Section I - Licensed Health Care Provider licensed under Chapters 458 459 or 464 F.S. 9 Upon approval of this agreement providers will be issued user identification and passwords for access to Florida SHOTS. Providers may then allow their individual staff who are authorized or approved following...
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