Patient Information for use by EMS and Staff at a Receiving Medical Facility
This information is to be kept secure with the patient or with other patient records under the protection of the Health Insurance Portability and Accountability Act (HIPAA). The form is intended to provide medical personnel with needed information. It is up to the individual to determine what information will or will not be provided. Please make a copy for EMS to take and place on your refrigerator.
Contact Wake County EMS 919-856-6020