Missouri Department of health

CERTIFICATION WE, the undersigned, hereby certify that the information provided in this application for trauma center review and designation is true and accurate; and give assurance of the intent and ability of the hospital to comply with regulations promulgated under the Missouri Trauma Center Law (Chapter 190.235 through 190.249, RSMo, Supp 1990). We further certify that the hospital will comply with all recommendations for improvement contained in the trauma center site review reports prepared by the Missouri Department of Health. Date of application___________________