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MMRS Planning Committe
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1.
Last Name:
(Required.)
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2.
First Name:
(Required.)
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3.
Department/Agency:
(Required.)
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4.
Position/Role:
(Required.)
Please list any questions regarding COVID-19 that fit into the below catagories
Pre-Hospital
5.
Dispatch
Question 1:
Question 2:
Question 3:
6.
Call Stacking Procedures
Question 1:
Question 2:
Question 3:
7.
General EMS
Question 1:
Question 2:
Question 3:
8.
EMS Protocols
Question 1:
Question 2:
Question 3:
9.
General Law Enforcement
Question 1:
Question 2:
Question 3:
10.
Personnel Issues
Question 1:
Question 2:
Question 3:
11.
Supply Chain Issues (EMS)
Question 1:
Question 2:
Question 3:
12.
PPE Concerns/Comments (EMS/LEO)
Question 1:
Question 2:
Question 3:
Hospital/Medical Facilities
13.
Hospital Surge
Question 1:
Question 2:
Question 3:
14.
COVID Testing
Question 1:
Question 2:
Question 3:
15.
Supply Chain Issues (Hospital/Medical Facility)
Question 1:
Question 2:
Question 3:
16.
PPE Concerns/Comments (Hospital/Medical Center)
Question 1:
Question 2:
Question 3:
17.
Quarantine/Isolation
Question 1:
Question 2:
Question 3:
18.
Nursing Home Comments/Issues
Question 1:
Question 2:
Question 3:
Other:
19.
Any Other Questions/Comments/Concerns please list below: