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Get See Attached For Instructions For Completion

Cert./License Info. of Verifier: Name of Verifier: Date of Verification: Approval to Verify from: Cert./License Info. of Verifier: Name of Verifier: Date of Verification: Approval to Verify from: Cert./License Info. of Verifier: (Signature of Verification) 2. Medical Assessment (Signature of Verification) 3. Bag-Valve-Mask Ventilation (Signature of Verification) 4. Oxygen Administration (Signature of Verification) 5. Cardiac Arrest Management w/ AED (Signature of Verification).

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