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Sample Medical Emergency Information Sheet for Your Office
ОглавлениеEmergency Medical Services (EMS) team is:
Name:_______________________________________________________________________________________
Phone: _______________________________________________________________________________________
Our dental practice address is:
Address: _______________________________________________________________________________________
Phone: _______________________________________________________________________________________
Special instructions to the EMS crew regarding how to find and enter building: _____________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
The nearest certified chest pain hospital is: __________________
The nearest comprehensive stroke center is: __________________
These are the names of the team members who fulfill the following roles:
Primary Support Person: __________________
Recordkeeper: __________________
Rover: __________________
Other notes: ______________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
