Commercial Ground Ambulance
Monthly Data Reporting
Out of State Exempt Services
Date Submitted
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Service Name
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Submitted By
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Email Address
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Month
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BLS Transports
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ALS Transports
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SCT Paramedic Transports
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SCT Nurse Transports
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Types of Specialty Transports
STEMI Transports
Neonatal Transports
Perinatal Transports
Voluntary Pysch Transports
Involuntary Pysch Transports
BLS Calls with AED usage
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