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EMS Merit Award Conferred for contributions to the EMS system at the local or regional level. The PHONE 207 626-3860 TTY 207 287-3659 FAX 207 287-6251 Maine EMS Awards 2017 Nomination Form Nominee s Name Phone Number Address Nominee s Service/Center Affiliation if any Years of Service to the EMS Community in Maine Nominee s Job Title Nominator s Name City State Zip Telephone Please provide a description of the nominee s qualifications and why you are nominating them Please feel free to...
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Maine Emergency Medical Services (EMS) is a division within the Maine Department of Public Safety that oversees and coordinates emergency medical services in the state.
Providers of emergency medical services, including ambulance companies, healthcare facilities, and individuals certified or licensed to provide EMS in Maine, are required to file with Maine EMS.
Maine EMS forms can be filled out online through the Maine EMS website or submitted via mail or fax. The forms must be completed and submitted with accurate and up-to-date information.
The purpose of Maine EMS is to ensure that the delivery of emergency medical services in Maine meets established standards of care and to promote the health and safety of the public.
Information such as patient demographics, medical history, treatment provided, and outcome of care must be reported on Maine EMS forms.
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