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Incident Reporting

Exception, Commendation & Sentinel Event Reporting:

EMS System providers and members of the public may report incidents, complaints or concerns regarding prehospital care to the EMS Agency via the Exception & Sentinel form provided on the link below.  You may fax the form to (415) 552-0194 or call the Quality Manager at (415) 487-5042. Mail should be directed to:

Quality Manager

DEM - EMS Agency

30 Van Ness #3300

San Francisco, CA 94102 

 

Exception & Sentinel Event Investigation Form

 EMS System providers who are responding to a complaint may use the form provided below to report back to the EMSA on the findings of the complaint investigation.

 

Investigation Closure Form (for managers) 

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Last updated: 11/26/2013 1:44:52 PM