Ambulance Survey Report - Advanced Life Support - Non-Transport - Department of Health (New Jersey)

Form Template

Survey an Ambulance designed for advanced life support (non-transport) by ticking off all the items in this checklist.

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With full capture fields for recording the provider trade name, license plate number, name on vehicle, VIN number, and more. There are 26 pages in this app. Here are some of the categories covered: standard safety equipment, sanitation, radio equipment, needles/syringes/adult IV supplies, pneumatic testing, trauma equipment, required medication list and oxygen flow meters.

Features
  • Signature Capture
  • Submission Editing
  • Reference Data
  • Dispatch
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Platforms
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Integrations
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