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Incident Reporting

 

Exception, Commendation & Sentinel Event Reporting:

EMS System providers and members of the public may report incidents, complaints or concerns regarding prehospital care to the EMS Agency via the Exception & Sentinel form provided on the link below. 
You may fax the form to (415) 552-0194 or call the Quality Manager at (415) 487-5042. Mail should be directed to:

 

Quality Manager

DEM - EMS Agency

30 Van Ness #3300

San Francisco, CA 94102 

 

Exception & Sentinel Event Investigation Form

 

 

 

 

 

MS System providers who are responding to a complaint may use the form provided below to report back to the EMSA on the findings of the complaint investigation.

Investigation Closure Form (for managers)