The following form must be completed and either faxed, or emailed to the EMS office.  This information is found on the form:

System Entry Authorization Form
      8/19 ver.
© Copyright 2008 Northwest Community Emergency Services System. All Rights Reserved
Site design and developement by
NWC EMSS | Northwest Community Hospital | CSM Building, Suite 5400 | 800 W. Central | Arlington Heights, IL 60005