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CONTINUING EDUCATION UNITS REPORTING FORM (40 CEU minimum per 2 year reporting period)First Name ___ Middle Initial ___ Last Name ___ Certification Number ___ Professional Meeting: Title ___Instructor

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Jersey Community Hospital EMS is the Emergency Medical Services provided by Jersey Community Hospital.

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Jersey Community Hospital is required to file the EMS report.

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The jersey community hospital ems report must include data on the number of emergency medical calls responded to, types of services provided, and patient outcomes.

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