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Forms June 25, 2008, REQUEST TO BE TAKEN TO A HOSPITAL ON DIVERSION 10.4 EMS TRANSPORT PROVIDER: Mark one or more of the following if patient transport involves the hospital divert system. Patient
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A request to be taken is a formal petition or application to request for a specific action or decision to be made.
Any individual or entity who wishes to seek a particular action or decision must file a request to be taken.
To fill out a request to be taken, the applicant must provide all required information and supporting documents as per the guidelines provided.
The purpose of a request to be taken is to formally request for a specific action or decision from the appropriate authority.
The request to be taken must include details about the desired action or decision, reasons for the request, supporting documents, and contact information of the applicant.
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