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Peoria Area EMS System EMS MULTIPLE CASUALTY RELEASE FORM Date: Time: Run/Incident Number: Agency: Unit Number: Location: Number of Victims: Description of Incident: School District: Bus Company:
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How to fill out the Peoria area EMS system:

01
Start by accessing the Peoria area EMS system website or visiting the designated registration location.
02
Provide your personal information, such as your full name, address, date of birth, and contact details.
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Fill out any additional required fields, including your medical history, allergies, and emergency contacts.
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Verify the accuracy of all the information you have provided and make any necessary corrections.
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Submit your completed form either online or in-person, following the instructions provided.

Who needs the Peoria area EMS system:

01
Individuals living in or visiting the Peoria, Illinois area who want to ensure emergency medical services are readily available to them in case of an emergency.
02
People with chronic medical conditions or specific medical needs who require immediate professional medical assistance when necessary.
03
Local businesses, organizations, and establishments that prioritize the safety and well-being of their employees, customers, or patrons by having access to emergency medical services.
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Peoria Area EMS System (PAEMS) is a regional Emergency Medical Services (EMS) system serving the Peoria, Illinois area.
All medical facilities and ambulance services operating within the Peoria Area EMS System region are required to file PAEMS reports.
To fill out the PAEMS system, providers must submit required data through the designated reporting portal or software.
The purpose of the Peoria Area EMS System is to collect and analyze EMS data to improve patient care, operational efficiency, and system performance.
Information such as patient demographics, treatment provided, response times, and transport destinations must be reported on the PAEMS system.
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