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CPR Instructor Equipment Request form:

If you are a CPR Instructor wanting to use equipment please fill out the form below.

Instructor name:
Phone #:
Email:
Date:
# of Manuquins needed:
Additional comments:
  

Miami County EMS--32765 Clover Dr, Paola, KS 66071--(913)294-5010

Miami County, KS Official Website