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Organization Case Review Request

Organization Case Review Request

This form is to be used by paramedic services, hospitals and other organizations seeking a case review. Individual paramedics are to use the Paramedic Case Review Request form. Please do NOT enter any patient personal health information or identification into this form.

Please align your request with the details contained within the fields label.

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Please note that if further information is required, a QPS Specialist may (i) contact you; and (ii) unless it is noted that this is a special case, reach out to the involved paramedics, via the ACE Tool.

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