• About DPH

  Doing Business with DPH Health Commission Inside the Department Internships Jobs DPH RN Reassignment News and Media Office of Policy and Planning State and Federal Governmental Affairs Prop I Notifications

• Our Services

  Birth/Death Certificates Community Behavioral Health Services Dental Services Disease Prevention Emergency Services Laguna Honda Hospital & Rehabilitation Center Maternal, Child & Adolescent Health Medical Services Pregnancy Resources Primary Care SF Health Network Zuckerberg San Francisco General Hospital and Trauma Center

• Our Programs

  Assisted Outpatient Treatment (AOT) Communicable Disease Control & Prevention Community Programs Education Environmental Health Section Health Impact Assessment Program Healthy San Francisco Maternal, Child & Adolescent Health Mental Health Board Mental Health Services Act (MHSA) Rebuild Zuckerberg San Francisco General Hospital and Trauma Center Research Shelter Monitoring Committee SF PATH Program Transgender Health Services Whole Person Care

• Healthy Living

  By Life Phase   - Pregnancy & Parenting   - Children   - Adolescents & Teens   - Young Adults   - Mature Adults   - Elderly Disease Prevention Education Medical Services Research Women's Services Your Rights

• Records, Permits & Licensing

  Applications Forms Licensing Permits Request Public Records Vital Records

• Knowledge Sharing & Collaboration

  Administration, Programs, Policy & Planning Environmental Health Publications Cannabis State Legalization Task Force CARE Task Force Community Health Improvement Plan CPMC Compliance Statement and Healthcare Compliance Report Food Security Task Force Health Care Services Master Plan Task Force Jail Replacement Project Law Enforcement Assisted Diversion San Francisco (LEAD SF) Meetings & Groups Methamphetamine Task Force Occupational Health Services at ZSFG Occupational Safety & Health Palliative Care Task Force Policy & Procedures Library Post-Acute Care Project Privacy Policies Reports, Studies & Data Safe Injection Services Task Force Sugary Drinks Distributor Tax Advisory Committee Supervisorial District Health Profiles Universal Healthcare Council

• Diseases & Conditions

  Education Disease Reporting & Control Medical Services Infectious Diseases A to Z Research

• Training

  Annual Compliance and Privacy Training Center for Learning & Innovation DPH Code of Conduct Health Impact Assessment Tools Online Training San Francisco Indicator Project User Agreement for Confidentiality, Data Security and Electronic Signature

Our Services

Home

Mission, Vision & Values

Announcements & Updates

Policy & Protocol Manuals

2016 Trauma Re-Triage Guidelines

Public Access Defibrillation

EMT & Paramedic Info

Incident Reporting

EMS System Providers

Training Opportunities

Event Medical Planning

 

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 email the form to exceptionreport@sfdph.org or call the EMS Investigator at (415) 487-5018. Mail should be directed to:

 

EMS Investigator

San Francisco EMS Agency

90 Van Ness

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)