1
a
2
b
3
c
4
d
5
e
6
f
Date
Run ID:
Vehicle ID
Mileage
End
Begin
Total
0
Agency Name
<Select>
Chevra Hatzoloh of Rockland County
Congers Valley Cottage Vol. Ambulance Corps
Haverstraw Ambulance Corps
Mobile Care
Nanuet Community Ambulance Corps
New City Vol. Ambulance Corps Rescue Squad Inc.
Nyack Community Ambulance Corps
Pearl River Alumni Ambulance Corp.
Piermont Fire Department Ambulance
Ramapo Valley Ambulance Corps
Sloatsburg Community Ambulance Corps
South Orangetown Ambulance Corps
Spring Hill Community Ambulance Corps
Stony Point Ambulance Corps
William Paul Faist Volunteer Ambulance Corps
Location
<Select>
Airmont
Chestnut Ridge
Clarkstown
Grandview-on-Hudson
Haverstraw
Hillburn
Kaser
Kings County (all)
Manhattan (Entire Borough)
Montebello
New Hempstead
New Square
Nyack
Orangetown
Piermont
Pomona
Ramapo
Sloatsburg
South Nyack
Spring Valley
Stony Point
Suffern
Upper Nyack
Wesley Hills
West Haverstraw
Dispatch Info
Location Code
Call Location
Location Type
<Select>
Residence
Health
Farm
Industrial
Other Work
Road
Other
Physician At Scene
Care In Progress
None
Citizen
PD/FD
PAD Used
Other First Responder
Other EMS
Call Received As:
<Select>
Emergency
Non Emergency
Standby
Call Dispatched As:
<Select>
BLS (990)
BLS Emergency (995)
ALS Level 1 (1000)
ALS Level 1 Emergency (1005)
ALS Level 2 (1010)
Paramedic Intercept (1015)
Specialty Care Transport (1020)
Fixed Wing (Airplane) (1025)
Rotary Wing (Helicopter) (1030)
Body Removal (billing)
Stand-by Chargeable (billing)
Stand-by Non-chargeable (billing)
Wheel Chair Transport (billing)
Stretcher Transport (billing)
Service Car Transport (billing)
Refusal/No Transport -> Patient Refused Care (4835)
Treatment with No Transport -> Treated and Release (4840)
No Patient Found -> No Patient Found (4825)
Not Applicable (-25)
Not Reporting (-15)
Not Known (-10)
Not Available (-5)
Dispatch Method:
<Select>
911
Emergency
Walk-In
Scheduled
Proximity:
In Area
Out Of Area
Purpose:
<Select>
Patient transferred to rehabilitation facility
Patient transport for benefit of physician
Patient transported for care of specialist
Patient transported for nearness of family members
Patient transported to nearest facility
Referring Physician:
UPIN:
Certificate of Medical Necessity:
Yes
No