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EMS Aggregate Prehospital Report and Provider Profile Information Form *1. Provider ID Number:. Quarterly Reporting Period:. Report Year: 23 Jan 2012 Documentation is an essential part of all prehospital medical care. It must include, but not be limited to the documentation of the event or 1. Pre-Hospital Care Report. 2. EMS Response #. 1. Patient Care Report #. 3. INCIDENT DATE. -. -. 4. EMS AGCY #. 5. EMS UNIT CALL SIGN. 6. EMS UNIT 9 MetroTech Center. Brooklyn, New York 11201-3857. (718) 999-1998 or 1999. Ambulance Call Report/. Prehospital Care Report. Request Form. SECTION A. pre·hos·pi·tal care re·port. (pre-hos'pi-tal kar re-port'). An electronic or written report completed by a prehospital provider that contains demographic and medical EMSTARS, Emergency Medical Services Tracking and Reporting System, is Florida's online prehospital information source. The Florida EMS Tracking and Here are camera-ready proofs of each page of the current (Version 5) paper Prehospital Care Report. These may be printed from this website and used as they 1 Jan 2003 1. A Prehospital Care Report (PCR) must be completed for every patient contact, including non transports. 2. Complete all items on the report. 5 Mar 2012 Prehospital Electronic Patient Care Report Systems: Early Experiences from Emergency Medical Services Agency Leaders. Adam B. Landman REGIONAL PAPER PCR SUBMISSION NYS paper Pre-hospital Care Report (PCR) Completed PCRs and Continuation forms are to be submitted by the 20th of
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