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Print Form San Juan County EMS Continuous Quality×Performance Improvement Communication Form Initiating Agency: SJ CCA Air Care Farmington FD SJ RMC EMS Aztec FD SIC SO Person completing form: Responsible
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How to fill out San Juan County EMS:

01
Start by obtaining the necessary forms from the San Juan County EMS office or their website.
02
Read through the instructions carefully to understand the requirements for each section.
03
Begin by providing your personal information, including your full name, address, phone number, and email.
04
Fill out any medical history or allergy information that may be required. This helps EMS personnel to better understand your health condition in case of emergencies.
05
Include emergency contact information, such as the names and phone numbers of individuals who should be notified in case of an emergency.
06
If applicable, provide insurance information so that any necessary medical charges can be billed correctly.
07
If you have any pre-existing medical conditions, medications, or special instructions for EMS personnel, be sure to include them in the appropriate section.
08
Sign and date the form to acknowledge that all the information provided is accurate to the best of your knowledge.
09
Keep a copy of the filled-out form for your records and submit the original to the San Juan County EMS office.

Who needs San Juan County EMS:

01
San Juan County residents: Any resident of San Juan County, whether permanent or temporary, may need to rely on San Juan County EMS services in case of a medical emergency.
02
Visitors: Visitors to San Juan County, such as tourists or individuals attending events or conferences, may also need access to EMS services if they experience a medical emergency during their stay.
03
Organizations and businesses: Any organization or business operating within San Juan County may need to be aware of and utilize the services provided by San Juan County EMS, especially in cases where employees or customers may require medical assistance.
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San Juan County EMS is the Emergency Medical Services operated by San Juan County.
All healthcare facilities and providers in San Juan County are required to file San Juan County EMS.
To fill out San Juan County EMS, healthcare facilities and providers need to gather information on emergency medical services provided and report it to the county authorities.
The purpose of San Juan County EMS is to ensure timely and effective emergency medical services for residents of San Juan County.
Information such as number of emergency medical calls, response times, patient outcomes, and equipment used must be reported on San Juan County EMS.
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