benasack2000 · 1161
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[b]Full in-game name:[/b][b]Real Life Age:[/b][b]Do you have a valid Argonath drivers license and passport?:[/b][b]Do you have any other group memberships? (ADF, EMS, SAPD ect.):[/b][b]Are you familiar with police/emergency codes of Argonath?:[/b][b]Why do you wish to join SANCARE Ambulance Service?:[/b][b]Do you realize that you will be trained extensively?:[/b][b]Do you have any IRL medical experience? If so please specify:[/b]
[b][color=green]SANCARE Ambulance Service[/color][/b][b][color=black]Active Medical Report Form[/color][/b][hr][b]Date:[/b] [b]Time of Dispatch:[/b] [b]Time of Scene Arrival:[/b] [b]Time of Transport Departure:[/b] [b]Time of Hospital Arrival:[/b] [b]Time of Available Status:[/b] [b]Incident Location:[/b] [b]Delivered Hospital:[/b] [hr][b]Name, Lastname:[/b] [b]Age:[/b] [b]Gender:[/b] [b]Race:[/b][b]Address:[/b] [b]Contact information:[/b][hr][b]Signs and Symptoms:[/b][b]Allergies:[/b][b]Medication:[/b][b]Past Medical History:[/b] [b]Last Oral Intake:[/b][b]Events:[/b][hr][b]Notes:[/b] [b]Oxygen:[/b] | [b]IV:[/b] | [b]Injection:[/b] | [b]C-Collar:[/b] | [b]Spineboard:[/b] | [b]Other:[/b] [b]Response:[/b] | [b]Breathing:[/b] | [b]Pulse:[/b] | [b]Blood Pressure:[/b] [b]Other:[/b]