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Signed Print Name Date EMS requests only Subscribed and sworn to before me this Day of Notarized by Please send the completed form along with any necessary documentation to Mesa Fire Records/Technical Services PO Box 1466 Mesa AZ 85211--1466. EMS Records are protected under the HIPAA law. If you are requesting a record for yourself you must have your signature notarized. If you are requesting a record for a minor or deceased individual please also include a copy of the patient s birth or...
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What is mesa fire and medical?
Mesa Fire and Medical is the fire department and emergency medical services provider for the city of Mesa, Arizona.
Who is required to file mesa fire and medical?
All businesses operating within the city of Mesa are required to file Mesa Fire and Medical.
How to fill out mesa fire and medical?
To fill out Mesa Fire and Medical, businesses must provide information about their fire safety measures, emergency contacts, and medical facilities.
What is the purpose of mesa fire and medical?
The purpose of Mesa Fire and Medical is to ensure the safety and well-being of residents and employees in case of fire or medical emergencies.
What information must be reported on mesa fire and medical?
Information such as the location of fire alarms, fire extinguishers, emergency exits, and medical kits must be reported on Mesa Fire and Medical.
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