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Get Uva Medic 5

For Dx/CC Date of Service Pt Name Address City State Zip SSN Age DOB Sex Weight Phone UVA Hx UVA Account Starting Loaded Miles Ending Loaded Miles Vehicle Dispatch Enroute Arrive 1 Depart 1 In Service Driver Miles H HPI PMHx Medications A Assessment R Treatment T Transport Time BP Pulse Resp. SaO2 GCS Race White Black Other Incident Occurred City/County of Incident Trauma Score of CRAMS Score Patient Condition Treatment Response Agency Numb.

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