Self Report Form

INSTRUCTIONS FOR USE

Self Reports (SR’s) can be completed by Paramedics, Management or others wishing to report a concern or variance. Please complete in as much detail as possible to provide context for full analysis. Note: please don’t include any patient health information (PHI) in your responses.

To report an issue related to a Patch, please click here
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Ontario EMS and Base Hospitals work in collaboration to ensure safe quality pre-hospital patient care is provided to every patient.

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