- Your name
- Your telephone number
- Yes, I am available and willing to help.
- No, I am already responding to Hurricane Irma in a health care role.
- No, I am not available.
Please note, Governor Scott’s September 4th Executive Order declares a state of emergency and grants authority for health service and treatment in Florida by any person who holds a valid and unrestricted and unencumbered license in another state, territory and/or district.