%PDF-1.5 % 90 0 obj <> endobj 103 0 obj <>/Filter/FlateDecode/ID[]/Index[90 24]/Info 89 0 R/Length 73/Prev 17153/Root 91 0 R/Size 114/Type/XRef/W[1 2 1]>>stream hbbd``b`jS@`\ bH`Qw "H>stream hb```B  aB  0HqpH-۝{:+ B iX.63QFSl endstream endobj 91 0 obj <>/Metadata 4 0 R/PageLayout/OneColumn/Pages 88 0 R/StructTreeRoot 8 0 R/Type/Catalog>> endobj 92 0 obj <>/Font<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 93 0 obj <>stream hԘo6 =n%Y_I``hv@71ܹOE/uB>(g%BI+T'tb*A('AS ]|PR*DR([-L)ޝ>87o]F~i;+~jzI]qz՝9q:Mh)%p֋z.piŏMO֋߮Q{m\oURzޝU,?5Sަ}֛U۷qMHpn}߮tmvMh82n|ܨ:yhkϟ:zprLqq{hDYx#u(!TkD &C B} q1*oq..y8>ƑA[ԇ8F=_+cz]S9`-Z~/ߟࣃ{Y>O- XE]pZ+swz&;iؼ)C`/>'0vc8'XiЁM O -$w@,K1!ƌgؘI.nEUI}U,Z ZC8GCP;e T1f+ UKyU=0PCC&!}Q!]Q|9D_Ib>i/JETCAUvsT={zW1U=sQ5U um~@vlex^+WD: i C{s;$Ro*m* 3_SŐrHrr1HLV @*8k,dӳOT Ȓ/بE&Aۼf95](F'0C2ʴhPXtJ8 i&n2lÐ 2؂^ma|Îh,!NoXgm{ic{=zjxkyk8_UbR|PJvaT9*H$rWLC*:LMߨAqrD"Ur=/+>nS.ګxsj9 W9]X҈k~GR&~C^`d_si >/8ffֻ 0G endstream endobj 94 0 obj <>stream H|Tn0+(MRuԼ%9MVc; % Erl u=\\L泛k0pyyu=h2[hxfM7`?GAbLuU6& w.C)ĝ*!nw*xrkXC9=ݖp]NQO6<2i Xc95x7C&|<@SpsEurbN=K#n C}q)JbL x'l{UAS ]ɷV mVV23m j;qNlm9}V)_c .#5n*AAZdy9G1OҙAaX'KPFbsUIAK6U9(xG͈qdoV)7~P[~t [j>stream HUMs0WڙkFDm7}+[؇\z:iz(i&sJ~MZd|k,EaJ&BuI.d^4[f=U5D%=S$.^hf ޴Mn |3NN|kQH@уT->bAOe^Rn'đ$ 70 :8],-Hla)Y|&b[e;E@8 Z`eP?C +"򒾛T-4#_o-̬X/h\ۛ35x TC%nT*ci(k9!mP| h/k^LD\}if.z)dϡqo!4<4BȔb?mOTX?VyޔG}cۉM{ZSi'4BU:7,(t8>289?>թ뎱'\>stream HTM0+KHjEhY.KAyNb*^1jd(t4l1QM((Ք # |^1M+.u1ojmLLٖB`)hyTO6.Pgn\\d \9cAP$y_^+[X]$+xF6?8٧ täUZ)q;*Hœ]3v^.]dYn̵]%X4Dw%~ae?nk43BL;BLw[Uz:݈u傽 ,&}whZmk` -jv02&Hw|VajU"K{}nPCVP9//4w%>>u?%;;z+/[ڋa0 p_*c1#d,= ﵭf#;GhAּmN[4! 1f !8um`\9q_H7N|&J00ZRs({HC N)=Y+:gBb\݇7Ȥd`mAf3c]\$K*b鐃h ND\buS`tJ%\ ړcLZolm[Op endstream endobj 97 0 obj <>stream HtUN@+-vDBH ""xNa&L4?pUky> BHW*_ԊF:H@etKlJ+e]~Wv4BU 'slrGewJA!R`\0V݄D:36rFc5 [3&@w[\rv{?1\_Ykɿ4֗iu1|, $J*`ZoX~&VOR=q36Ɔh'_;`(HjwqJxiyC;`ܡ ŞƜ/]%l\H3=4j$ bX́/s/ "RPD nD΄Q,0=keWR^j6Wv/P۾FIW蜴!Qm'/Os2m#^MR&Q#U'+ːR"sVJUz+*/Qy[ endstream endobj 98 0 obj <>stream HT]o@|W죯l̗EJ~}0 Ħ$4ΝQ#tl/J>ިG6 2dlLAR؄ʰƎ}(DX*ݽ^71sK?PZE1DC_|Oo:=!a3]>udAVjK9:,^d whLPȵ@H$䤭2p:;+7:`!mYe Pvʺ 0q "6&CiiPuF;~4FGHs I쉽O1|k3:zFz)Wc~be7!a)s ՋF/aљPd#COkk57 ;=Pr!'ܘP&bώVgq^z*gPFؐiVdT҂rC7S㕺* ޹v'(Q A{ gLqtsH)u.b1<#8CPN~"ߗN40u+LIj+-Nz~-EK\WLP~PËjjc2cZhOTtSRڳW l endstream endobj 99 0 obj <>stream HUn0 +xXM@bņ$Nudtq$xv,|$Iw2jUb <)/aq{d);Vלּ{d5Jx >FgV$&13EЀ%|UI$]6,b )eS(7}˳MLH7t6Ouj2(6Q^@Q8>)2+ϰ"ٜ=ܳٲ۴DZ."~波>$GeX'i?M*wk_#/ endstream endobj 100 0 obj <>stream HUMo@W̑&ФDڃoVhM]/ԵwgJefޛ7oylmWPp0 s JyMRps e„+5ra4vey"n ޕQ'T$ĭˈY8PJJ~G;ő,QO$P܁oejpUIs"BŴfAhVgqeدjR&tu[ (Y w?DblVZ܄3Qr"I) qT'̋ڳN$<'DA^8NiURwJQv;2;~4l*~Ҿ6OMi:FdH= TcCc `TQUVG*ti+D{[ˤ Z<:f_\ݡɽuY&1x@àz?JfPk5*ۤ[UEh!9<1+Wi_0#K7 ;P_+lZ]~ŔX1Ycϗr&~h:+yN)8+p Og$7i- 7>stream HTKo@W+e(5R@{p(M#y,PP/ovf { Dkt`  W~t|;cSMU%lk1Q߲IoSb>l` %ی{:D/RQ) ޱiCMNVcVt{+HGkv+`] 6 D^PZ&qLҔP)Qr֓s[ V2Rswn[VNUCjw_5^LEhxU4Y:}WD#G/8='Kg GNiOaaNZ&% 0n Snd4Kڅd/'K{e౱w$c< Kq2Кߛ_?vlfӾV-O7za 󝳉X>ރ7y}XॶIG},BV#% [$/2X~& endstream endobj 102 0 obj <>stream Hb``$WR~  |@T # 2 S/`M.(*(%8H8c- fԉd9@6_IjH9(3=DR1%?)U!$5X3/9 ($5j%V*'&*r"(,!!0b;CҢ2(ɘ I8/ endstream endobj 1 0 obj <>/Font<>>>/Rotate 0/StructParents 1/Tabs/S/Type/Page>> endobj 2 0 obj <>stream HWr8}WQ`7Tj'w7&[OΗTR\-OdjLS5Or;KfPj\M1$ŭ6NKN*Y~\]Wyƙg,83]f:SЦR$oҪ.u ,K.M2{j/Co0OMҜ@;ZIV=>5$`R5Zt HpbÓ^]@g.r-l.Lj{>$T[!jS>%yUb+29BJE =3Z(k JY##B$(`AU)?{{@Wvr-gOʩQУә? ;tb5܋3MJ >fG:E{v4.մIԠStiaak?́9=IrNjzꯦq]^|_6  C\AQ+݅d?A(ay y Vq`G@6><*Ȓ=+j |>_ZN_82MV)fyVgD0;wh=@Ri[צbB@to@Mfz5Nż]@ѵT+L?^-QBB6YS15 CYZj{і.r yF8s&h-sKd4ۍYj菒Ǟ" \I\tO[К?RiKmq7Fw h08ݎo0`h9'%,[GpwIeRgj'ژʞjQ?b ]$Kխk0S{[E6ς}XPjڵ,NWo~`fz %>F@BP@pT2_|%vyRsmҽ#%B([ϖ`~J:]GҖ 8 ̸yD~'-AWI#Zڹ1((Z͉?b[\nPf9f"_:mdTP)zY}rW!^Z '~'b>%YXbD & !FU3`L.#ѩS}Utz[ .Jzݥԛ7o/a8e9ׅ.r|%jyw~II$t})`xƳԍ<::аv(eO@Vب袚muZ~"DžIlq33=ZXq3hr 8YWټ﩮Ml9'D^fPGTL僿#H;nF1K~ɃX?sJ5洤u5OfF"NdWBb3k0w*$B~ギX_VB03h䖹+ Hъ3Hᒢ%FYdhpP 6=au բx0?¸G4m#aۈܰ##;#fa2A]؎T\, o%@1z%7#.*PF"1+D1rdR 40s-9qUog`rOOZ߃e ۝Bo%*f&eDjAnf {Ì6n/2{O 4w<{h "z֮VzᬝE7zT\RpܝН#5a)+.j0eI3@;{D-HӯD9m` Ԇ[EЄΔ" YBG"* 0ZnL[7׶G:PUuNW ?~ endstream endobj 3 0 obj <>stream h_kFſ<hݙ`S:AZZd-d}J"Cir{~3sZA"*qZ(%L(҂T2+B4B9- !?J)=rPA[-rljc<i B!2y/  x\^@st$lU@Xlt$82xGxh < -&Ý x#Mh< ǡW;6qhPG 4pA H#F/(:`"Mh(þ>, <#\Jj< yG6My a Dx0 d 5t^C/xD޽\!eUMUU'[QWT7SaWuON7tQC- Aq q`ccc 1BL!SʭC.r]s+VWGȓ(y%*&h<'*(f2sb&|F!M4NIR}l>]߽}%3<_-[3:4qgtfi̝ѩ;+u>.ճݚ3:&?!<#tSxFh,^3t?L d!!<"UI2}%h[_{a-, V endstream endobj 4 0 obj <>stream 2016-06-22T15:07:42-05:00 2016-06-22T15:07:41-05:00 2016-06-22T15:07:42-05:00 Acrobat PDFMaker 15 for Word uuid:2cf84c7d-6f82-46b9-8998-f87383699fce uuid:94075b3a-3529-491d-89a3-3fa89fd1a788 6 application/pdf Hospital Name: Name, City, State dlabb Adobe PDF Library 15.0 D:20160622193438 AHA endstream endobj 5 0 obj <>stream h޲P0Pw/+Q0L)4 )XʂTb;;&  endstream endobj 6 0 obj <>stream hlQk@ 7kNEb9׋m$~2?d UZb|%ۖ:{`7r[E5pWfvYaك-F֎~Z+ka yg 8ObرOŽkgG7^!6IKM @/L'X݉jރ6d|ް}atA/z-YU endstream endobj 7 0 obj <>/Filter/FlateDecode/ID[]/Info 89 0 R/Length 59/Root 91 0 R/Size 90/Type/XRef/W[1 2 1]>>stream hbb&FE#&7@ `$ d T e`% H02=W endstream endobj startxref 116 %%EOF