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Web we want to help you with your license, permit, or any other service requests you have for the fwc. Web dh form 1896, revised december 2002 physician’s statement i, the undersigned, a physician licensed pursuant to chapter 458. Web dh form 1896,revised december 2004 state of florida do not resuscitate order patient’s full legal name (print or type) (date) patient’s statement based upon. Web contact the florida department of health.
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