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Utah Specialized Pediatric Air Ambulance Equipment Checklist Name of service: Service #: Permit #: Rotary Fixed Wing Year Annual Re license New vehicle Original license General Equipment 1 FAA approved
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Start by gathering all the necessary personal information, such as name, address, phone number, and date of birth.
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Provide detailed information about the patient, including their medical condition, current medications, allergies, and any special requirements.
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Indicate the desired pick-up location and the destination to which the patient needs to be transported.
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Fill out any additional medical forms or questionnaires, if required, to assess the patient's eligibility for the advanced air ambulance service.
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Who needs Utah advanced air ambulance:

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Individuals with severe medical conditions requiring urgent transportation to specialized medical facilities.
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Patients who are unable to travel long distances by conventional means of transportation due to their critical condition.
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Those who require advanced medical care and monitoring during transportation, such as individuals on life support or in need of continuous IV medication.
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Utah Advanced Air Ambulance is a specialized medical transport service that provides advanced medical care to patients in critical conditions while being transported by air.
Medical facilities, healthcare providers, and air ambulance companies are required to file Utah Advanced Air Ambulance reports.
Utah Advanced Air Ambulance reports can be filled out online through the designated portal provided by the Utah Department of Health.
The purpose of Utah Advanced Air Ambulance reports is to track and monitor the usage of advanced air ambulance services in the state.
Information such as patient demographics, nature of illness or injury, date and time of transport, and medical interventions performed during transport must be reported on Utah Advanced Air Ambulance forms.
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