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PreHospital Save Nomination Form Region 1 Western Massachusetts Emergency Medical Services, Inc. Section 1 (Please print name as you wish it to appear on award certificate). Names of all responders
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What is PreHospital Save Nomination Form?

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The prehospital save nomination form is a form used to nominate individuals who have saved a life outside of a hospital setting.
Anyone who has saved a life outside of a hospital setting can file a prehospital save nomination form.
To fill out the prehospital save nomination form, individuals need to provide details about the life-saving event and the nominee.
The purpose of the prehospital save nomination form is to recognize and honor individuals who have made a heroic effort to save a life outside of a hospital setting.
The prehospital save nomination form must include details about the life-saving event, the nominee, and contact information for the nominator.
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