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Durham County EMS VIAL OF LIFE Information Form GENERAL INFORMATION Name: Date Filled Out: / / Address: Phone: () Date of Birth: / / Social Security Number: Past Medical History Heart Disease Emphysema
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01
Step 1: Obtain the necessary forms for filling out Durham County EMS. These forms can typically be found on the official Durham County website or can be obtained from the Durham County EMS office.
02
Step 2: Begin by filling out the patient's personal information section. This includes their name, address, date of birth, and contact information.
03
Step 3: Provide medical history information. Fill out any relevant medical conditions, allergies, and current medications the patient is taking.
04
Step 4: Include emergency contact information. Provide the name, relationship, and contact number of a person who can be reached in case of an emergency regarding the patient's health.
05
Step 5: Indicate insurance information, if available. Provide details about the patient's insurance policy, including the insurance provider, policy number, and any relevant identification numbers.
06
Step 6: Sign and date the form. Ensure that the patient or their legal guardian signs and dates the Durham County EMS form.
07
Step 7: Review the filled-out form for accuracy. Double-check all the information provided to make sure it is correct and up-to-date.
08
Step 8: Submit the completed Durham County EMS form. Return the form to the designated location, whether it is the EMS office or any specified drop-off location.
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Step 9: Keep a copy of the filled-out form for your records. It is wise to retain a copy of the completed Durham County EMS form for easy reference in the future.

Who needs durham county ems?

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Durham County EMS is designed to provide emergency medical services to anyone in need of immediate medical attention within Durham County.
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People who require urgent medical care due to accidents, injuries, severe illnesses, or any life-threatening conditions would generally benefit from Durham County EMS.
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This service is not limited to any specific group of individuals and is available to all residents, visitors, and commuters who may require emergency medical assistance in Durham County.
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Whether it is a minor injury or a critical health situation, anyone in Durham County who needs prompt medical attention can rely on Durham County EMS to provide the necessary care and transportation to a medical facility.
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Durham County EMS provides emergency medical services to residents in Durham County.
Anyone operating an emergency medical service in Durham County is required to file Durham County EMS.
You can fill out Durham County EMS forms online or in person at the Durham County EMS office.
The purpose of Durham County EMS is to provide timely and effective emergency medical care to residents.
Information such as patient demographics, medical history, treatments provided, and transport destination must be reported on Durham County EMS.
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