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Southern Tier Health Care System, Inc.
  • Home
    • Our Mission
    • Our Team
    • Board of Directors
    • Our Facility
    • CEO Update
    • News
    • Upcoming Events
    • Contact Us
  • Find Training
    • Emergency Medicine >
      • COVID-19
      • Current Provider Resources >
        • Education & Training
        • Annual Skills
        • Applications & Forms
        • PCR Request
        • Protocols
        • Paramedic Program
        • Public Access Defib
      • News & Notices
      • Pediatric Prepared
      • SWREMS, WREMAC & BEMS
    • Overdose Prevention
    • Stop the Bleed
    • Become a SAFE Provider
  • Info & Resources
    • Caregiver Navigation
    • Safe Kids
    • Drug Disposal Resources
    • File of Life
  • Get Help
    • Cribs for Kids
    • Sexual Assault Forensic Examiner
    • Health Insurance
  • Ways to Help
    • Blood Drives
    • Donate

Prehospital Care Report

Request PCRs or Refusals
PCRs, Refusals or Continuation Form Request
​

​PCR Coversheet
​

WREMAC Refusal of Evaluation, Treatment, & Transport Form
​
Picture
Prehospital Care Report (Version 5)
  • ​Printable PCR
  • Agency Copy (White Copy) - Front
  • Agency Copy (White Copy) - Back
  • Research Copy (Yellow Copy) - Front 
  • Research Copy (Yellow Copy) - Back 
  • Hospital Copy (Pink Copy) - Front 
  • Hospital Copy (Pink Copy) - Back 
  • DOH-3411 - Continuation Form

Southern Tier Health Care System, Inc.
​150 North Union Street, Olean, NY 14760
  • Home
    • Our Mission
    • Our Team
    • Board of Directors
    • Our Facility
    • CEO Update
    • News
    • Upcoming Events
    • Contact Us
  • Find Training
    • Emergency Medicine >
      • COVID-19
      • Current Provider Resources >
        • Education & Training
        • Annual Skills
        • Applications & Forms
        • PCR Request
        • Protocols
        • Paramedic Program
        • Public Access Defib
      • News & Notices
      • Pediatric Prepared
      • SWREMS, WREMAC & BEMS
    • Overdose Prevention
    • Stop the Bleed
    • Become a SAFE Provider
  • Info & Resources
    • Caregiver Navigation
    • Safe Kids
    • Drug Disposal Resources
    • File of Life
  • Get Help
    • Cribs for Kids
    • Sexual Assault Forensic Examiner
    • Health Insurance
  • Ways to Help
    • Blood Drives
    • Donate