Interoffice Memorandum
DATE: December 12, 2025
TO: Mayor Jerry L. Demings and County Commissioners
THROUGH: Raul Pino, MD, MPH, Department Director
FROM: Christian Zuver, MD, Office of the Medical Director
CONTACT: Sandra Roe
PHONE: 407-836-7611
DIVISION: EMS, Office of the Medical Director
ACTION REQUESTED:
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Approval and execution of Interlocal Agreement between Orange County, Florida and Central Florida Tourism Oversight District regarding Medical Direction, Quality Management, and Medical Communication. The term of this agreement shall be for five years commencing on the effective date. There is no cost to the County. (EMS, Office of the Medical Director)
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PROJECT: N/A
PURPOSE: Every Emergency Medical Services (EMS) agency in the county that provides basic life support and advanced life support must employ or contract with a medical director that is a licensed physician responsible for supervising the medical performance of emergency medical technicians (EMT) and paramedics pursuant to F.S. 401.265. The EMS. Office of the Medical Director provides EMS medical direction for EMTs and paramedics at eight agencies in Orange County. Florida Statutes and Section 20-72 of the Orange County Code requires an interlocal agreement between the agency and county to formalize the arrangement and lays out responsibilities related to medical direction, quality management, and medical communication. The EMS, Office of the Medical Director is requesting approval for an interlocal agreement to provide EMS medical direction to the Central Florida Tourism and Oversight District. This agreement will continue a longstanding partnership between the county and the Central Florida Tourism and Oversight District that supports a coordinated and centralized system of EMS medical direction across participating agencies.
BUDGET: N/A