FieldSaver EMS

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E-mail us at sales@fieldsaver.com

Call us at 877-881-8144

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Type of Service You Provide: Check all that apply	Als	Bls		Tran
	Non-Tranz	911 Response		Air
	INTERFACILITY TRANZ
	Other
WHAT DO YOU CURRENTLY USE FOR PATIENT CARE REPORTS?	Paper Forms		Bubble Forms
	Software Type:
WHAT ARE THE PRIMARY REASONS TO CHANGE TO ELECTONIC documentation?	IMPROVE DOCUMENTATION
	IMPROVE REIMBURSEMENT
	ENTER DATA ONCE
	IMPROVE QA
	TRACK MEDICS STATISTICS
	QUICKER PROCESS TIMES
	COMPLETE PCR’s FASTER

How many calls to you respond to each year?
How many EMS vehicles do you use on a daily basis?
How many field personnel in your organization?
DO YOU HAVE HIGH SPEED INTERNET?	Yes No
WOULD YOU LIKE A 20 MINUTE DEMO?	Yes No