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 HSEMS attend an event, please fill out the form below. The form will be e-mailed to the Operations Assistant of HSEMS 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) 972-4720.

Please fill out the form below:

Organization Name(required)

Address(required)

Address2

City(required)

State(required)

Zip(required)

Contact Person(required)

Contact Phone(required)

Contact Email (required)

Event Name (required)

Event Date (required)

Event Location (required)



Start Time (required)

End Time (required)

Number of people expected to attend the event (required)

Must an emergency unit be committed at all times?

YesNo

In the event a transport is required, can the committed unit transport the patient to medical facility and return to standby?

YesNo

Multiple Standby Events

Special Instructions

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