This Application is for the State of Florida - Department of Health Region 1 State Medical Response Team

 

Please open and complete the State Application pdf. This version of pdf doesn't save so please have time to complete it at one session and print forms, sign, date and return to the SMRT Adminstration Section.

 

Mailing address is Region 1 SMRT, PMB 338, 548 Mary Esther Cutoff, Fort Walton Beach, Florida 32548

 

State Application pdf