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including paramedics and emergency medical responders (EMR) as defined by the Health Professions Act
For the Royal Navy
The Special Service Medal (SSM) recognizes members of the Canadian Armed Forces (CAF) who have performed service under exceptional circumstances
Full‑size medals are supplied loose with 8 inches of quality ribbon
United States Joint Services Commendation Medal excluded-retail only including paramedics and emergency medicalAwarded in the name of the Secretary of Defense to members of the Armed Forces of the United States who, after January 1, 1963, distinguished themselves by meritorious achievement or service in a joint duty capacity. Full size medal comes loose and with 8 inches of quality ribbon and miniature medals 5 inches. Medal Mounting Services are available at additional cost.