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Dane County EMS Support Needs
*
1.
Agency
(Required.)
2.
Who is your department's EAP provider?
3.
What is the contact information and primary contact person for the EAP provider?
4.
Can you supply a flyer from your EAP with contact information and a description of their services? If yes, we will email you to follow up!
Yes
No
5.
Does your department have a chaplain program?
6.
What other wellness programs do you offer to your staff?
7.
Do you have a specific wellness need not being met currently?
8.
Who is your best contact for peer support questions if they arise at your agency?
9.
Do you have staff you think would be good members of the county team?
If you have a peer support trained member of your department willing to join the Dane County EMS Network, please contact Carrie Meier or Eric Lang.