Standby Services

Our apparatus and personnel are available for standby commitments at various types of events in our local response area. If your organization is interested in having WSEMS attend an event, please fill out the form below. The form will be e-mailed to the Operations Assistant of WSEMS for review. Your organization will be contacted after receipt of the form. If you do not receive a response in a timely manner, please contact Scott Schminky at (717) 972-4790.

Please fill out the form below

*Organization name:

*Address

Address 2

*City *State * Zip

*Contact person:

*Phone number:

*E-mail address:

*Event name: *Date of event:

*Location of event:

*Start time: *End time:

Special instructions for the crew:

*Number of people expected to attend the event:

Must an emergency unit be committed at all times? Yes No

In the event a transport is required, can the committed unit transport the patient to medical facility and return to standby? Yes No

 

*Required Fields