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DEPARTMENT OF HEALTH SERVICES DIVISION OF PUBLIC HEALTH F[removed]Rev[removed]Page 1 of 2 STATE OF WISCONSIN
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Document Date: 2014-03-28 12:08:48


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City

Madison / Turlock / /

Facility

Contact hospice / /

IndustryTerm

metal bracelet / /

MedicalCondition

pain / cardiac arrest / pulmonary failure / /

MedicalTreatment

resuscitation / CPR / chest compressions / Cardiopulmonary resuscitation / cardiac massage / /

Organization

DEPARTMENT OF HEALTH SERVICES / /

Position

physician / Date Signed Print Attending Physician / emergency medical technician / patients attending physician / attending physician / /

ProvinceOrState

WISCONSIN Ch. / Wisconsin / Colorado / /

TVStation

Wis / /

SocialTag