CareReports can be completed by Paramedics, Service Operators or others wishing to communicate with CPER's Quality Program. Please complete the form with as much detail as possible to provide context for full analysis.
Leave blank if none
If more that 500 words is required to describe the nature of the event please attach as a Word doc, PDF, or TXT file.
If asked a verification question please click the images that match the description. If unsure click Reload and try again or click the headphones for an audio captcha.