Nominación al Premio a la Excelencia PBHN EMS

Responda cada pregunta lo mejor que pueda y el Comité de Premios EMS la revisará.

Si tiene alguna pregunta sobre este proceso o desea una aclaración sobre cualquier nominación, envíe un correo electrónico a [email protected]

* indica campo obrigatório

What EMS Agency does the crew/person being nominated work for? *

Please provide your department email address

Please select the date of service:

Please write below the account # for the patient associated with the nomination for award:

What EMS Agency does the crew/person being nominated work for? (If unknown, select other and provide any details you can to identify the Rescue Unit)

For Other please specify:

Please write a short description of how the crew or individual, while following protocols, exercised exceptional treatment, while advocating for the patient and family while displaying a high level of professionalism.