If nominating an agency, please include the agency license number here.
a.) How does this individual or organization exemplify outstanding dedication and service delivery to EMS for Children?
b.) Describe this individual or organization’s services, which cover a continuum of care from injury prevention to prehospital care, emergency department and hospital services and rehabilitation. c.) Do they participate in programs or committees for EMS for Children?
d.) Have they been recognized for their programs or dedication to EMS for Children locally, regionally, statewide or nationally?
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