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Thank you for taking interest in providing feedback to our company and EMS crews.

Please allow 48 hours for a response. If your request is urgent or time sensitive, please contact our Patient Services Department 24 / 7 / 365 @ 810.233.4400.
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Online Questionnaire

Download Facility Awareness & Needs Questionnaire Here

This survey has been created to gather feedback from facilities that we have identified as excellent candidates for STAT EMS exclusive services. Once completed, this will be used to generate Quality Needs Assessment (QNA) reports. Please click the link below to download the form.

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