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WEST MI AMBU-CARE MEMBERSHIP Serving Your Community. 911 Emergency. Healthcare Facilities. Medical & Security Services. Health Systems. Federal Disaster Response Team. Managed Transportation. Air Ambulance. International EMS. AIR. GROUND. ANYWHERE. FIXED WING AIR AMBULANCE SERVICES 24 7 CONTACT US TODAY. 800.424.7060 info@AMRAirAmbulance.com www.AMRAirAmbulance.com ONE OF THE LARGEST DEDICATED AIR AMBULANCE FLEETS IN THE UNITED STATES

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{{slide.createdDate}} {{slide.title}} {{slide.text}} Ver. 3.0.0.462 Prod B AMR Prod Terms of Use | HIPAA Policy | Privacy Policy

MEDS4

Your MEDS username has changed to .. Moving forward, you will need to use the new username. Your password has not changed. PCRs will not be

affected.

THE SECTION BELOW MUST BE COMPLETED BY THE PATIENT’S PHYSICIAN CERTIFICATION STATEMENT (PCS) The section below must be completed by the patient’s attending physician or authorized designee. AMR Personnel may not complete this section. PRACTICE IMPROVEMENT Practice Improvement Version 1.4.3 WEST MI AMBU-CARE MEMBERSHIP Serving Your Community. 911 Emergency. Healthcare Facilities. Medical & Security Services. Health Systems. Federal Disaster Response Team. Managed Transportation. Air Ambulance. International EMS. AIR. GROUND. ANYWHERE. FIXED WING AIR AMBULANCE SERVICES 24 7 CONTACT US TODAY. 800.424.7060 info@AMRAirAmbulance.com www.AMRAirAmbulance.com ONE OF THE LARGEST DEDICATED AIR AMBULANCE FLEETS IN THE UNITED STATES

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AMR ONLINE ORDERING

{{slide.createdDate}} {{slide.title}} {{slide.text}} Ver. 3.0.0.462 Prod B AMR Prod Terms of Use | HIPAA Policy | Privacy Policy

MEDS4

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THE SECTION BELOW MUST BE COMPLETED BY THE PATIENT’S PHYSICIAN CERTIFICATION STATEMENT (PCS) The section below must be completed by the patient’s attending physician or authorized designee. AMR Personnel may not complete this section. PRACTICE IMPROVEMENT Practice Improvement Version 1.4.3

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SAFETY TIPS: EMERGENCY VEHICLE ROAD SAFETY BE ALERT AND PATIENT It can take time to provide medical care to victims and clear the roadway. Emergency personnel appreciate your patience and courtesy. CREDENTIAL VERIFICATION AMR EMERGENCY RESPONSE TEAM (ERT) QUALIFICATIONS & CREDENTIALS Revised 4.18.2017 Other Qualifications: Driving Requirements: Emergency Vehicle Operations Course (EVOC), or Coaching the Emergency Vehicle Operator (CEVO), or Defensive Driving Course IV (DDC4), or equivalent

and valid state

BUSINESS CODE OF CONDUCT & ETHICS GMR 7 If any of the policies or practices outlined in this Code are, or become unlawful for any reason, the applicable law will be followed. Further, if any provision of this Code conflicts with any applicable law, such provision will be modified and AUSTERE EMERGENCY MEDICAL SUPPORT (AEMS) FIELD GUIDE 4 I | INTRODUCTION DHS AUSTERE EMERGENCY MEDICAL SUPPORT FIELD GUIDE C. Austere Medicine Defi ned “Austere EMS” is the delivery of EMS care under conditions of limited personnel and equipment resources, and outside the existing framework of normal EMS. AMBU-CARE MEMBERSHIP QUESTIONS ANSWERS Updated 12/30/19 . AMBU-CARE Membership Questions and Answers . Q. If I call and need a non-emergent transfer to the emergency room, can you . take me in a wheelchair or do I GUIDELINES FOR EVACUATION OF INDIVIDUALS WITH DISABILITIES Guidelines for Evacuation of Individuals with Disabilities During Disasters Page 4 Evacuation and Transportation Transportation is a key component in emergency planning. INTAKE AND DISPATCH PERSONNEL Policy No.: 40100 Signature: Created: 9/24/1998 Reviewed: 1/2018 Revised: 3/2015 _____ Page 2 of 6 AMERICAN MEDICAL RESPONSE Created Date: 6/11/2018 11:30:25 AM

WEBRECON3.1 LOGIN

WebRecon 3.1.2 (External Users) Login : Password : Login : Password :

MAKE A PAYMENT

AMERICAN MEDICAL RESPONSE, AMR, and the associated logos are trademarks of American Medical Response, Inc. All unauthorized use is

prohibited.

AMERICAN MEDICAL RESPONSE Object moved to here. AIR. GROUND. ANYWHERE. FIXED WING AIR AMBULANCE SERVICES 24 7 CONTACT US TODAY. 800.424.7060 info@AMRAirAmbulance.com www.AMRAirAmbulance.com ONE OF THE LARGEST DEDICATED AIR AMBULANCE FLEETS IN THE UNITED STATES

AMR ONLINE ORDERING

{{slide.createdDate}} {{slide.title}} {{slide.text}} Ver. 3.0.0.462 Prod B AMR Prod Terms of Use | HIPAA Policy | Privacy Policy SAFETY TIPS: EMERGENCY VEHICLE ROAD SAFETY BE ALERT AND PATIENT It can take time to provide medical care to victims and clear the roadway. Emergency personnel appreciate your patience and courtesy.

MEDS4

Your MEDS username has changed to .. Moving forward, you will need to use the new username. Your password has not changed. PCRs will not be

affected.

THE SECTION BELOW MUST BE COMPLETED BY THE PATIENT’S PHYSICIAN CERTIFICATION STATEMENT (PCS) The section below must be completed by the patient’s attending physician or authorized designee. AMR Personnel may not complete this section.

MAKE A PAYMENT

AMERICAN MEDICAL RESPONSE, AMR, and the associated logos are trademarks of American Medical Response, Inc. All unauthorized use is

prohibited.

AMERICAN MEDICAL RESPONSE Object moved to here. AIR. GROUND. ANYWHERE. FIXED WING AIR AMBULANCE SERVICES 24 7 CONTACT US TODAY. 800.424.7060 info@AMRAirAmbulance.com www.AMRAirAmbulance.com ONE OF THE LARGEST DEDICATED AIR AMBULANCE FLEETS IN THE UNITED STATES

AMR ONLINE ORDERING

{{slide.createdDate}} {{slide.title}} {{slide.text}} Ver. 3.0.0.462 Prod B AMR Prod Terms of Use | HIPAA Policy | Privacy Policy SAFETY TIPS: EMERGENCY VEHICLE ROAD SAFETY BE ALERT AND PATIENT It can take time to provide medical care to victims and clear the roadway. Emergency personnel appreciate your patience and courtesy.

MEDS4

Your MEDS username has changed to .. Moving forward, you will need to use the new username. Your password has not changed. PCRs will not be

affected.

THE SECTION BELOW MUST BE COMPLETED BY THE PATIENT’S PHYSICIAN CERTIFICATION STATEMENT (PCS) The section below must be completed by the patient’s attending physician or authorized designee. AMR Personnel may not complete this section. AIR. GROUND. ANYWHERE. FIXED WING AIR AMBULANCE SERVICES 24 7 CONTACT US TODAY. 800.424.7060 info@AMRAirAmbulance.com www.AMRAirAmbulance.com ONE OF THE LARGEST DEDICATED AIR AMBULANCE FLEETS IN THE UNITED STATES AMR LIFECARE MEMBERSHIP APPLICATION AMR MEMBERSHIP AGREEMENT 2021 PLEASE KEEP THIS FOR YOUR RECORDS By signing the 2021 AMR Membership Application (“Application”), I agree, on behalf of myself and the members of my household listed on

the

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SAFETY TIPS: EMERGENCY VEHICLE ROAD SAFETY BE ALERT AND PATIENT It can take time to provide medical care to victims and clear the roadway. Emergency personnel appreciate your patience and courtesy. EBV EXPOSURE DETERMINATION POST EXPOSURE … EXPOSURE DETERMINATION & POST EXPOSURE MANAGEMENT OF EVD Ebola Viral Disease (EVD) is a potentially fatal bloodborne viral disease that is spread through direct AMR PPE DONNING & DOFFING PROCEDURES AMR PPE Donning & Doffing Procedures . Ebola is spread through direct contact (e.g., through broken skin or through mucous membranes of the eyes, nose, or mouth) with blood or body fluids of a person who is sick with Ebola or with objects (e.g., TEXAS MTO TRANSPORTATION PROVIDER MANUAL Transportation Provider Manual Patient Focused, Customer Centered, and Caregiver Inspired. 6 Medicaid is one of the largest federal and state budget items, growing at almost 10 percent annually KENTUCKY AMBULANCE FEE SCHEDULE notice: ambulance fee schedule hcpcs code description amount j3490 sodium bicarb 4.2% abjt $17.29 j3490 sodium bicarb 8.4% abjt $14.08 a0999 spinal immob—ked $150.00 PARAMEDIC & AMBULANCE TRANSPORTATION SERVICES An Envision Healthcare Company 6200 S. Syracuse Way | Ste 200| Greenwood Village, CO 8011 1 . Paramedic & Ambulance Transportation Services . Who Determines Ambulance Rates?

DATA EXTRACTOR

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Healthcare Facilities. Medical & Security Services. Health Systems. Federal Disaster Response Team. Managed Transportation. Air Ambulance.

International EMS.

AIR. GROUND. ANYWHERE. FIXED WING AIR AMBULANCE SERVICES 24 7 CONTACT US TODAY. 800.424.7060 info@AMRAirAmbulance.com www.AMRAirAmbulance.com ONE OF THE LARGEST DEDICATED AIR AMBULANCE FLEETS IN THE UNITED STATES

AMR ONLINE ORDERING

{{slide.createdDate}} {{slide.title}} {{slide.text}} Ver. 3.0.0.462 Prod B AMR Prod Terms of Use | HIPAA Policy | Privacy Policy SAFETY TIPS: EMERGENCY VEHICLE ROAD SAFETY BE ALERT AND PATIENT It can take time to provide medical care to victims and clear the roadway. Emergency personnel appreciate your patience and courtesy.

MEDS4

Your MEDS username has changed to .. Moving forward, you will need to use the new username. Your password has not changed. PCRs will not be

affected.

THE SECTION BELOW MUST BE COMPLETED BY THE PATIENT’S PHYSICIAN CERTIFICATION STATEMENT (PCS) The section below must be completed by the patient’s attending physician or authorized designee. AMR Personnel may not complete this section. MEDS EPCR CHECKPOINT V2.10 PROD MEDS ePCR CheckPoint v2.10 Prod PRACTICE IMPROVEMENT Practice Improvement Version 1.4.3 KENTUCKY AMBULANCE FEE SCHEDULE notice: ambulance fee schedule hcpcs code description amount j3490 sodium bicarb 4.2% abjt $17.29 j3490 sodium bicarb 8.4% abjt $14.08 a0999 spinal immob—ked $150.00

DATA EXTRACTOR

MEDS Data Extractor. New Query: 0 Records: County From To

MAKE A PAYMENT

Healthcare Facilities. Medical & Security Services. Health Systems. Federal Disaster Response Team. Managed Transportation. Air Ambulance.

International EMS.

AIR. GROUND. ANYWHERE. FIXED WING AIR AMBULANCE SERVICES 24 7 CONTACT US TODAY. 800.424.7060 info@AMRAirAmbulance.com www.AMRAirAmbulance.com ONE OF THE LARGEST DEDICATED AIR AMBULANCE FLEETS IN THE UNITED STATES

AMR ONLINE ORDERING

{{slide.createdDate}} {{slide.title}} {{slide.text}} Ver. 3.0.0.462 Prod B AMR Prod Terms of Use | HIPAA Policy | Privacy Policy SAFETY TIPS: EMERGENCY VEHICLE ROAD SAFETY BE ALERT AND PATIENT It can take time to provide medical care to victims and clear the roadway. Emergency personnel appreciate your patience and courtesy.

MEDS4

Your MEDS username has changed to .. Moving forward, you will need to use the new username. Your password has not changed. PCRs will not be

affected.

THE SECTION BELOW MUST BE COMPLETED BY THE PATIENT’S PHYSICIAN CERTIFICATION STATEMENT (PCS) The section below must be completed by the patient’s attending physician or authorized designee. AMR Personnel may not complete this section. MEDS EPCR CHECKPOINT V2.10 PROD MEDS ePCR CheckPoint v2.10 Prod PRACTICE IMPROVEMENT Practice Improvement Version 1.4.3 KENTUCKY AMBULANCE FEE SCHEDULE notice: ambulance fee schedule hcpcs code description amount j3490 sodium bicarb 4.2% abjt $17.29 j3490 sodium bicarb 8.4% abjt $14.08 a0999 spinal immob—ked $150.00

DATA EXTRACTOR

MEDS Data Extractor. New Query: 0 Records: County From To AIR. GROUND. ANYWHERE. FIXED WING AIR AMBULANCE SERVICES 24 7 CONTACT US TODAY. 800.424.7060 info@AMRAirAmbulance.com www.AMRAirAmbulance.com ONE OF THE LARGEST DEDICATED AIR AMBULANCE FLEETS IN THE UNITED STATES SAFETY TIPS: EMERGENCY VEHICLE ROAD SAFETY BE ALERT AND PATIENT It can take time to provide medical care to victims and clear the roadway. Emergency personnel appreciate your patience and courtesy. AMR LIFECARE MEMBERSHIP APPLICATION AMR MEMBERSHIP AGREEMENT 2021 PLEASE KEEP THIS FOR YOUR RECORDS By signing the 2021 AMR Membership Application (“Application”), I agree, on behalf of myself and the members of my household listed on

the

EBV EXPOSURE DETERMINATION POST EXPOSURE MANAGEMENT EXPOSURE DETERMINATION & POST EXPOSURE MANAGEMENT OF EVD Ebola Viral Disease (EVD) is a potentially fatal bloodborne viral disease that is spread through direct AMR NW DIVERSITY RECRUITMENT SCHOLARSHIP PROGRAM 2021 AMR NW Diversity Recruitment Scholarship Program 2021 Application Application Deadline: 11:59PM April 15, 2021 Please note, if you plan to mail an application it must be TEXAS MTO TRANSPORTATION PROVIDER MANUAL Transportation Provider Manual Patient Focused, Customer Centered, and Caregiver Inspired. 6 Medicaid is one of the largest federal and state budget items, growing at almost 10 percent annually AMERICAN MEDICAL RESPONSE Created Date: 6/11/2018 11:30:25 AM PARAMEDIC & AMBULANCE TRANSPORTATION SERVICES An Envision Healthcare Company 6200 S. Syracuse Way | Ste 200| Greenwood Village, CO 8011 1 . Paramedic & Ambulance Transportation Services . Who Determines Ambulance Rates? KENTUCKY AMBULANCE FEE SCHEDULE notice: ambulance fee schedule hcpcs code description amount j3490 sodium bicarb 4.2% abjt $17.29 j3490 sodium bicarb 8.4% abjt $14.08 a0999 spinal immob—ked $150.00

DATA EXTRACTOR

MEDS Data Extractor. New Query: 0 Records: County From To AMERICAN MEDICAL RESPONSE Object moved to here. WEST MI AMBU-CARE MEMBERSHIP Serving Your Community. 911 Emergency. Healthcare Facilities. Medical & Security Services. Health Systems. Federal Disaster Response Team. Managed Transportation. Air Ambulance. International EMS.

AMR ONLINE ORDERING

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AIR. GROUND. ANYWHERE. FIXED WING AIR AMBULANCE SERVICES 24 7 CONTACT US TODAY. 800.424.7060 info@AMRAirAmbulance.com www.AMRAirAmbulance.com ONE OF THE LARGEST DEDICATED AIR AMBULANCE FLEETS IN THE UNITED STATES

MEDS4

Your MEDS username has changed to .. Moving forward, you will need to use the new username. Your password has not changed. PCRs will not be

affected.

AMERICAN MEDICAL RESPONSE Created Date: 6/11/2018 11:30:25 AM AMERICAN MEDICAL RESPONSE Object moved to here. WEST MI AMBU-CARE MEMBERSHIP Serving Your Community. 911 Emergency. Healthcare Facilities. Medical & Security Services. Health Systems. Federal Disaster Response Team. Managed Transportation. Air Ambulance. International EMS.

AMR ONLINE ORDERING

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AIR. GROUND. ANYWHERE. FIXED WING AIR AMBULANCE SERVICES 24 7 CONTACT US TODAY. 800.424.7060 info@AMRAirAmbulance.com www.AMRAirAmbulance.com ONE OF THE LARGEST DEDICATED AIR AMBULANCE FLEETS IN THE UNITED STATES

MEDS4

Your MEDS username has changed to .. Moving forward, you will need to use the new username. Your password has not changed. PCRs will not be

affected.

AMERICAN MEDICAL RESPONSE Created Date: 6/11/2018 11:30:25 AM AMERICAN MEDICAL RESPONSE Object moved to here.

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paramedic.protocols,.is.intended.to.support.the.care.provider’s. efforts.to.provide.pre-hospital.life.support.until.the.patient.can. be transferred and given HOSPITAL RESTOCKING OF EMS DRUGS AND SUPPLIES The hospital must restock drugs and supplies on an equal basis for all ambulance providers within a common group wanting to participate in a restocking arrangement. EBOLA PATIENT PREPARATION FOR TRANSPORT, PATIENT … EBOLA PATIENT PREPARATION FOR TRANSPORT, PATIENT MOVEMENT & DECONTAMINATION PROCEDURES ‐ Updated November 11, 2014 Scheduled Ebola Patient Transport For information about the Ebola virus and modes of transmission see the Public Information Tab

1-800-228-7601

1. Peace of Mind, With No . 2. 3. Out-of-Pocket Costs. Emergency Medical . Response When Needed. Benefits that Meet . Your Needs. Wherever you live in our ambulance PRACTICE IMPROVEMENT Practice Improvement Version 1.4.3 GUIDELINES FOR EVACUATION OF INDIVIDUALS WITH DISABILITIES Guidelines for Evacuation of Individuals with Disabilities During Disasters Page 4 Evacuation and Transportation Transportation is a key component in emergency planning. INTAKE AND DISPATCH PERSONNEL Policy No.: 40100 Signature: Created: 9/24/1998 Reviewed: 1/2018 Revised: 3/2015 _____ Page 2 of 6

WEBRECON3.1 LOGIN

WebRecon 3.1.2 (External Users) Login : Password : Login : Password : AMERICAN MEDICAL RESPONSE Object moved to here. WEST MI AMBU-CARE MEMBERSHIP Serving Your Community. 911 Emergency. Healthcare Facilities. Medical & Security Services. Health Systems. Federal Disaster Response Team. Managed Transportation. Air Ambulance. International EMS.

AMR ONLINE ORDERING

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AIR. GROUND. ANYWHERE. FIXED WING AIR AMBULANCE SERVICES 24 7 CONTACT US TODAY. 800.424.7060 info@AMRAirAmbulance.com www.AMRAirAmbulance.com ONE OF THE LARGEST DEDICATED AIR AMBULANCE FLEETS IN THE UNITED STATES

MEDS4

Your MEDS username has changed to .. Moving forward, you will need to use the new username. Your password has not changed. PCRs will not be

affected.

AMERICAN MEDICAL RESPONSE Created Date: 6/11/2018 11:30:25 AM AMERICAN MEDICAL RESPONSE Object moved to here. WEST MI AMBU-CARE MEMBERSHIP Serving Your Community. 911 Emergency. Healthcare Facilities. Medical & Security Services. Health Systems. Federal Disaster Response Team. Managed Transportation. Air Ambulance. International EMS.

AMR ONLINE ORDERING

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AIR. GROUND. ANYWHERE. FIXED WING AIR AMBULANCE SERVICES 24 7 CONTACT US TODAY. 800.424.7060 info@AMRAirAmbulance.com www.AMRAirAmbulance.com ONE OF THE LARGEST DEDICATED AIR AMBULANCE FLEETS IN THE UNITED STATES

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paramedic.protocols,.is.intended.to.support.the.care.provider’s. efforts.to.provide.pre-hospital.life.support.until.the.patient.can. be transferred and given HOSPITAL RESTOCKING OF EMS DRUGS AND SUPPLIES The hospital must restock drugs and supplies on an equal basis for all ambulance providers within a common group wanting to participate in a restocking arrangement. EBOLA PATIENT PREPARATION FOR TRANSPORT, PATIENT … EBOLA PATIENT PREPARATION FOR TRANSPORT, PATIENT MOVEMENT & DECONTAMINATION PROCEDURES ‐ Updated November 11, 2014 Scheduled Ebola Patient Transport For information about the Ebola virus and modes of transmission see the Public Information Tab

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1. Peace of Mind, With No . 2. 3. Out-of-Pocket Costs. Emergency Medical . Response When Needed. Benefits that Meet . Your Needs. Wherever you live in our ambulance PRACTICE IMPROVEMENT Practice Improvement Version 1.4.3 GUIDELINES FOR EVACUATION OF INDIVIDUALS WITH DISABILITIES Guidelines for Evacuation of Individuals with Disabilities During Disasters Page 4 Evacuation and Transportation Transportation is a key component in emergency planning. INTAKE AND DISPATCH PERSONNEL Policy No.: 40100 Signature: Created: 9/24/1998 Reviewed: 1/2018 Revised: 3/2015 _____ Page 2 of 6

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