Orange County NC Website
(Attachment 8) <br />Agency Medical Treatment Attestation <br />________________________ Department understands that Orange County EMS Treatment <br />Protocols must be followed by all providers functioning within the County. We understand that all <br />EMS providers function at the discretion and permission of the Orange County Emergency Services <br />Medical Director and under his/her supervision. <br />a.The Medical Director has final authority on provider practice privileges. <br />b.The Medical Directory also has the right and responsibility to suspend any provider <br />he/she deems unfit or unqualified to perform to set standards. <br />c.The Medical Director or Designee will be present at oral boards to determine provider’s <br />capability to practice independently. <br />Department Chief: ________________________________ ________________ <br /> (Signature) (Date) <br /> ________________________________ <br /> (Printed Name) <br />FOR OCES USE ONLY <br />Received by: ______________________________________ Date: ___________________________ <br />Approved by Orange County EMS Training Officer: _________________________Date:_________________ <br />DocuSign Envelope ID: 79C5D167-B6CA-4E59-B4AC-AA38CC1B20BD