Public Records Request for Declaratory Statement - Florida Board of Medicine - Public Records Request for Declaratory Statement

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Florida Board of Medicine

Public Records Request for Declaratory Statement Final Orders

You may complete the form and submit from your computer. Please note that charges may apply.

Written Certification of Documents - $25 fee in addition to duplication charges.

Certification Required (Additional Charge of $25.00)
Certification NOT Required

Subject
Petitioner
Final Order Number
Order File Date

(Note: Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.)

Documents are to be sent to:

Contact:		Phone Number:
Company:
Email:
Street Address:
City:
State:		Zip Code:

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