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PENNSYLVANIA DEPARTMENT OF HEALTH
BUREAU OF EMERGENCY MEDICAL SERVICES
Critical Care Transport Inspection Checklist
GENERAL INFORMATION:
Name of EMS Agency:
Dominate Lettering (as displayed on EMS
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To fill out the name of EMS agency, follow these steps:
02
Locate the designated field for agency name on the form.
03
Write the full and official name of the EMS agency in the given space.
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Who needs name of ems agency?
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- EMS providers
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What is name of ems agency?
The name of EMS agency is the official title of the emergency medical service provider.
Who is required to file name of ems agency?
The name of EMS agency must be filed by the designated representative or administrator of the emergency medical service provider.
How to fill out name of ems agency?
To fill out the name of EMS agency, the designated representative or administrator must provide the official title of the emergency medical service provider.
What is the purpose of name of ems agency?
The purpose of the name of EMS agency is to accurately identify the emergency medical service provider in official records.
What information must be reported on name of ems agency?
The name of EMS agency must include the official title of the emergency medical service provider.
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