TSE Patient Follow-up Request Form for EMS Providers

EMS providers can use this communication tool to help them and their supervisor/educator obtain follow up feedback about provided care for TSE patients. After the form is submitted, a hospital representative will contact the provider to answer questions about the requested call and, if applicable, provide outcome data and any suggestions for improvement.

Request Form
Frequently Asked Questions
TSE Patient Follow Up Request Form Flyer
Print and post this flyer. Spread the word to submit a request form today!
Map of Idaho with Public Health Districs outlined and TSE Designated Centers noted
Idaho Hospitals
Use the email below to contact with any questions.