EmailMe Form - EMS and Crime Related Call Concern Report Form

EMS and Crime Related Call Concern Report Form

Please fill out and submit this form following any incident that you attend with Toronto Paramedic Services (TParaS), in which you have any concerns.

This form will be submitted directly to the Emergency Medical Services Committee Chair.

Name *
First Middle Last
Rank *
Apparatus (or Work Location if not in Operations) *
Incident Date *
MM / DD / YYYY
Incident Number *
Incident Type *
Fire
Industrial Accident
Medical Assist
MVC
Personal Injury
VSA
Rescue
Crime Related
Other (Please State)
Nature of Concern
Late TFS Notification
No TFS Notification
No TParaS Dispatched
Delayed TParaS Dispatch
TParaS Safety
Patient Safety
Patient Transfer
Police not notified
Police not attending
Choose all that apply
Paramedic Unit #(s)
Incident Details
Print/type and/or cut and paste to/from FireRMS report
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