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20 16 ANNUAL REPORTUNITED IN SERVICE to our patients and communities Mission, Vision & Values The mission of the National Association of Emergency Medical Technicians (NAE MT) is to represent and
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To fill out the form for our patients, follow these steps:
02
Grab a copy of the patient form from our reception desk or website.
03
Start with providing the patient's personal information such as name, date of birth, and contact details.
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Move on to the medical history section and specify any pre-existing conditions, allergies, or previous surgeries.
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Lastly, review the form for any errors or missing information, and sign and date it.
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Submit the filled-out form to our receptionist or the designated staff member.
Who needs to our patients and?
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Our patients need to fill out the patient form if they are:
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- New patients who haven't visited our clinic before
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- Existing patients who have had any changes in their personal or medical information
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- Patients who have scheduled a new appointment after a significant gap
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- Individuals who haven't updated their details with us in the past year
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- Individuals who require specific medical attention or treatments that demand updated information
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