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Mobile Intensive Care Nurse Authorization
Application Information | Authorization Policy | FAQsApplication Information
Application and Related Forms
- MICN Authorization Application (PDF)
- MICN Orientation Verification (PDF)
- MICN Continuing Education Form (PDF)
- Address Change Request Form
Application Fee: $100.00 (effective July 1, 2008)
Authorization Policy
View the MICN Authorization Policy >>Frequently Asked Questions
Q: What are acceptable CE Hours for my MICN re-authorization?
Formal classes related to prehospital care and/or emergency nursing; participation in field care audit; and you may use up to 8 hours of observation time on a SJC ALS ambulance.
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