%PDF-1.4 % 58 0 obj <> endobj xref 58 20 0000000016 00000 n 0000001078 00000 n 0000001343 00000 n 0000001635 00000 n 0000002117 00000 n 0000002659 00000 n 0000002693 00000 n 0000002941 00000 n 0000003183 00000 n 0000003259 00000 n 0000004107 00000 n 0000005058 00000 n 0000006006 00000 n 0000006917 00000 n 0000007791 00000 n 0000008657 00000 n 0000009631 00000 n 0000010305 00000 n 0000000912 00000 n 0000000696 00000 n trailer <<56D877F3E5A5BE4D973C96E24E52CA06>]>> startxref 0 %%EOF 77 0 obj<>stream xb```b``Ig`a`bc@>f( ǃ) "̎A@$AG@ބ L,']0a^ 0l+L[ d`` 2m= endstream endobj 76 0 obj<>/Size 58/Type/XRef>>stream xbbbf`b`` < endstream endobj 59 0 obj<>/Metadata 7 0 R/PieceInfo<>>>/Pages 6 0 R/PageLayout/OneColumn/StructTreeRoot 9 0 R/Type/Catalog/Lang(EN-US)/LastModified(D:20090611100159)/PageLabels 4 0 R>> endobj 60 0 obj<>/Font<>/ProcSet[/PDF/Text]/ExtGState<>>>/Type/Page>> endobj 61 0 obj<> endobj 62 0 obj<> endobj 63 0 obj[/ICCBased 75 0 R] endobj 64 0 obj<> endobj 65 0 obj<> endobj 66 0 obj<> endobj 67 0 obj<>stream H|TN0+H4 @AT=i MwfUo޼7..5pyyu`xjH0 `Z1H( ¬HBȄ!7."9ߵjFY ixxN?ï$Ã^3XV֩C(ϣ U nfIzC/p|9 %y2tqP=$H#I0 B3B"W4Ob(g,rRvWIA~VbGIgOof8Ŀ2`,(vK?0:~p.6,'P Ҕ ̣tzE_l&Bxa״PDb\PW s?g=|lfbN5 GV1c5#+m#4훚Ȉ+N:G~Q~c7ĝ+&ffD8-^vC*pr;]̫Dfǃ$(!~,n#g+45V`vܦQO8Og+q|5OUo|gקq>g<,~k ƊZ7"`f̄ΣY!''&,ȼTΆ3?Pnvޠ8'B㤇$5e;HQLQ)\x^*ʼ,PϔWl`'7:etr-`ǝۓ A#nF8d\k0Nuxs ?аU endstream endobj 68 0 obj<>stream H|UM0ﯘ]-o±*zX5/8`,6I3c>̼yoQ ?Ӭz`qlAB 2H' z㷇 BYJqF)Dpl0 q'8O4fh3m''h+*+VFդYaV70At%zxI76$t(@ARUY@q)"DX±Jq5=eڙ˲A> CEVTUa^kǗ{g^t7!ϴP23Y^z(hobk4YR{=5¤VS!tt# 99 lkI2Y惞Fv#ؖTsƎ[+"aKxˍ ewX>r"Q0;(äڄutĘw#?r\w逿c!-sgM5c>s3?&chջۂz4S@ uh4XIP>tqf,yԴ?QSGj>;̮7La j@X`d*pfLU끧MM8 &[Ӑd=o2Xac%_ HYUwT4RX<2n̴df;XL`,s [d!sIwL\z31[PMµ4=wQE69iD6NcEc OW Sk쇥,~PbɒŊ#Jże\)\@A%N$bpYh-jxF4yŇx4{F:S^_X6>stream HUKo8W̑Zzۢ6 (P=peVHE'o(;-S7qn,355-* 5U S]R[ݩ]KF}Tj'K8􉎢X('MDaNֹÂIܿLb|Du'c J>7V75>˗WoPI^~üi4ijU&!*& 󴮲-5+EI9YlI"So=C.ՍżEeSev*4R?Q(pu#s0Fn|#\'8hfj|/RG1w/MRRb[.~ЖEdÊS꒵V1W89X& =*ܴm/=S@'FPzlài;؉!VO)7.)r]s `*BVzehroqrV^ mZv4q4p6sgЏCa0mj*oi<, _i]D#wc+q{2(f֎u!qLmqC4;" KX<;yB`mq{i7y{,=n 'qd@(rZSN\dCt&0 IϞ]A֛?8>stream HtUMo@+M`;NHC+E*zJ{@ yXmzx3;f7~ JR (9< e?cJ2٭myR Ity Aލk P>maY۲֨ԙ ܝz60"iVzᵫXhf- \2PR۰iecT'3$z/d_Uj.pyM[xf9@~$E[YFk˜+ݺn}qF *z+5ft l3*9OQjAJQ% -@ ?qZa&;X+MK[V8gVZ^&JůhvDrё]UJE4'd}A6@$8@Id*!Bj -ܜgTThnS@+\S)pB}$K`[H6mEp6s!bp!HagE`:eΥ92`7&w˽ d8_%%6p8 9W_iiKkzxxܲ1q$ rуQZEKqxO"vFӌyE6ϳGua*tZz8QXaѽf5qFG 4NGĭgFM;#"ZA4U^XXلroWZb;e~(l1ϛݠ8O_R2il'Fߤ ƩE` ދgBy{;Fa)18$NbRP傾x#.<+v޵Gm?#A{ endstream endobj 71 0 obj<>stream H|TKo0 W2@jגc@0ߊTGI%! GRkK{ER%V'qiAUIj R.fDNODo|c[?`I) ~e!ʅk+kRv>u34]F"B D2ɧbKx7S$ =&p;P% uY5BӒ#nBmE1b%q-L.H 7wh&U%ydT(T( 2\ En&^> N)=+&'M)s}DgI1 "}?!D|s6V&}ugrT .wh*^PXB[m(̭%QI3nT隉X6;.dhj}$S1@ a=qK+ҰSpT/Ρ"<3n(EOXAޏ?>stream HtUKo0 W2@<>@|vPm9Qؙ,ȿIَmX$GR)_8de "3YTk6LTF"0đ(iTpa.$p%?9Q35=2n!z+tD)ɁDqf(B/5y(Q)/WfT QنjY ,()|AH i{":՞e!RtT؈DG+GG^ֱ/ hҝan4Z%oX:LD+õu]Eie -ц_]57N&l l~saz-e6\UA֬䛓 ބ&8, ,llL"eOyi>M1m\*JpcQ q0%"j1ZSco.Z1fcvv#~-[up3m *4z,(*Cl7yG$+ SK|0/` no}NnvL3{n;^@ a^ Kǚ;l7jX~ު\"<>@ׇG+D},2lG!`)ƉjRpʣ&%=~W/`$l endstream endobj 73 0 obj<>stream HUn8W\X(ib{_@t́PX1_]MI] Y㡛ͪbu7die[j* r'9"5yGF=ttrC}Ե [O6Om?~{$>>rc*FdB#Zc]>~opɬ+~Dei~ N'rT_=wޫm2HƯ$tbTLFQtUY$AH $%=)+#Hd 4uK|wJ܉+36YV,mraD{\CYުO@|ۺ[xd4ߔjRPdu^{ܶ..L܊'gϋ?ȅ :g%`کa9舾bğ7`vS>O3N9@aYNBRAb 鄒:g`zQ, ~/X3C@V?fAB@5ؐAyw+e}B= ;%ѥ+}jߨcs'LBHr~0dz8e^NB1۪)D[6σͦlɈM^c~ >LO %R[o'\NX7[PK]>stream HMo09R!|F*m?[RV=$lS¤QcRi^mf@sI5-U wtDw7rpԚoqxDQD)4TD׺5qu%7fJX1Z'U97UT5Sd@4,w?Y"xzvOI:f:VIVbHЋ}'h[ ƴmDž~pA1WޚΎw:4MO1m:ɃEɼ ΅ )qV'j]96a~O~2 YY<cQ$irxZޡ#'1vcA]L2f+>b<yRA zߣni\Lf 4B58wnZXuv^Xd!{Z!0C~Bl+;: |؆!'bM cpK|%%:d q>ƞYo[ƺGj͞YpB3"ѥe_j' endstream endobj 75 0 obj<>stream HyTSwoɞc [5laQIBHADED2mtFOE.c}08׎8GNg9w߽'0 ֠Jb  2y.-;!KZ ^i"L0- @8(r;q7Ly&Qq4j|9 V)gB0iW8#8wթ8_٥ʨQQj@&A)/g>'Kt;\ ӥ$պFZUn(4T%)뫔0C&Zi8bxEB;Pӓ̹A om?W= x-[0}y)7ta>jT7@tܛ`q2ʀ&6ZLĄ?_yxg)˔zçLU*uSkSeO4?׸c. R ߁-25 S>ӣVd`rn~Y&+`;A4 A9=-tl`;~p Gp| [`L`< "A YA+Cb(R,*T2B- ꇆnQt}MA0alSx k&^>0|>_',G!"F$H:R!zFQd?r 9\A&G rQ hE]a4zBgE#H *B=0HIpp0MxJ$D1D, VĭKĻYdE"EI2EBGt4MzNr!YK ?%_&#(0J:EAiQ(()ӔWT6U@P+!~mD eԴ!hӦh/']B/ҏӿ?a0nhF!X8܌kc&5S6lIa2cKMA!E#ƒdV(kel }}Cq9 N')].uJr  wG xR^[oƜchg`>b$*~ :Eb~,m,-ݖ,Y¬*6X[ݱF=3뭷Y~dó ti zf6~`{v.Ng#{}}jc1X6fm;'_9 r:8q:˜O:ϸ8uJqnv=MmR 4 n3ܣkGݯz=[==<=GTB(/S,]6*-W:#7*e^YDY}UjAyT`#D="b{ų+ʯ:!kJ4Gmt}uC%K7YVfFY .=b?SƕƩȺy چ k5%4m7lqlioZlG+Zz͹mzy]?uuw|"űNwW&e֥ﺱ*|j5kyݭǯg^ykEklD_p߶7Dmo꿻1ml{Mś nLl<9O[$h՛BdҞ@iءG&vVǥ8nRĩ7u\ЭD-u`ֲK³8%yhYѹJº;.! zpg_XQKFAǿ=ȼ:ɹ8ʷ6˶5̵5͵6ζ7ϸ9к<Ѿ?DINU\dlvۀ܊ݖޢ)߯6DScs 2F[p(@Xr4Pm8Ww)Km endstream endobj 1 0 obj<>/Font<>/ProcSet[/PDF/Text]/ExtGState<>>>/Type/Page>> endobj 2 0 obj<>stream HWm~b?Diq q?Q{2.ʯ<3vE7N>i]3ϼzw*T~{sw^>l"e|^ݬ^V* 0URzKVE!_~adUZj'Cwh_xjmSv_z?OU{hyi['='^wRV_]?@%`ɧ2rD h)%R#:gIgpO[YrrH #`%ΗX@)r\}LA^\O ?GPd<0VYS1o'zÐ)S e@oI#o *\D0q? NϚT=T.+8-%?-9v]/UZsJfG bP4+^7T_}}; z EBRIȭ}&5jj>c(Mk:%r+p\=3D8|pcXQ^[w>if}`D} MߪMC7|g5Yq ml;%Yŧh:Sǥd:8? i _fDx%Oc1#3G6/`9Y=}n>R/ Vi68KpI!sTe S~g MR2GQ3V=yYmtXX(߻@6qCQU0X[W2 uiex#H=Qe"N&ʛfa?>F7Lu?+NMȼWiT'&L~dZ@)a @M=zA(ͤ 3{i/#&_h#<ǏJy],S F4 Ԃʯ/fg@^Fn6Hly3ńfZgTT.g곯(!XHqnmA01R1P 8SJSV7w=Q"^Ϸi&O^ S.0Y,CX`U,%) ᇡ"k yS{KbZb2\o1(_(JFRP xڊ{Ho)Ҩ1!ae屔U,Q",]OБ#?@GXQHQ>ȝ 3fn49z> endstream endobj 3 0 obj<>stream x̔[O1ۇދ"KaILve¿wBd2cY(kT)k^YRޓN*BP61#E)sRGY(J9D_(WBwЁ $B ^Y rTG^-$1r9bpaIS"/Qw 'J$ʑ;"}*5CP*NrQ2@Per5*W`_8A*p>+3vva:}iƺ1&'^L]wfMr)If]D=Q@Np9LLLL L L L L L L L L 22M&Fb 1BLqLqLqLqLq=B^z>姃ɗoslonMz됦zU Vm~lczDO7Uyt&/f'C|c}|m귞4M֧^M1~ԋ>kNGz7X{Q[~WD, >n]C Pt ?}q}WZZ'z6@ @[J'qJ<+qJ@qxVDoW>؟[fQ;䉻i1ԺS\/-?Ko1IN"q38 "PhE.ZViENZV%w+u endstream endobj 4 0 obj<> endobj 5 0 obj<> endobj 6 0 obj<> endobj 7 0 obj<>stream Acrobat Distiller 7.0.5 (Windows) AHA D:20090610225358 Acrobat PDFMaker 7.0.7 for Word 2009-06-11T10:01:59-05:00 2009-06-11T10:01:55-05:00 2009-06-11T10:01:59-05:00 uuid:57e330ff-7ac8-45c0-b6a3-c06d5f4dff0a uuid:4f1853b4-1f51-4772-b38d-292de1b4de78 8 application/pdf Hospital Name: Name, City, State dlabb endstream endobj 8 0 obj<> endobj xref 0 58 0000000000 65535 f 0000012974 00000 n 0000013214 00000 n 0000015864 00000 n 0000016746 00000 n 0000016779 00000 n 0000016802 00000 n 0000016859 00000 n 0000021290 00000 n 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f trailer <> startxref 116 %%EOF