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Report an Incident or Unusual Occurrence

Reporting is encouraged by all who encounter an actual or "potential" patient care safety event or recognize exemplary care in the field. These events may be related to systems, operations, devices, equipment, medication or any aspect of patient care and include "great catches" defined as patient safety events that are recognized and prevented before they actually occur.

Please email your report to This email address is being protected from spambots. You need JavaScript enabled to view it..

Instructions for details in your email communication:

  1. Provide a concise description of the event including date, time, location, and parties/agencies involved.

  2. Include your contact information: name, email address, and phone number.

  3. Reports submitted by provider agency representatives should include a brief summary of findings and disposition of the event.

 

 The EMS Incident Form is availabe to be completed and attached to your email.

Contact Us

Coastal Valleys EMS Agency
195 Concourse Blvd., Suite B
Santa Rosa, CA 95403
(707) 565-6501
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