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Ute Pass Regional Health Service District

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Request Forms

The forms on this page are available as downloads for printing. Clicking each link will open the document in a new window. You may print directly from the page or save the document to your computer for future use. Be advised, these documents are updated occasionally so be sure you always have the latest version before printing.

  • Consent for Treatment/Transport, Billing and Privacy
  • Physician Certification Statement (PDF)
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Upcoming Events

Agenda
Agenda
Day
Month
Week
December 2019 – February 2020 Dec 2019 – Feb 2020
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Dec
25
Wed
2019
Southern Park County VFD
Tickets
Dec 25 @ 19:00 – 21:00

(719) 689-9479

Read more
Categories: Pre-hospital CE
Jan
20
Mon
2020
ALS Case Review @ NETCO
Tickets
Jan 20 @ 09:00 – 11:00
Read more
Categories: Case Study
Jan
22
Wed
2020
Southern Park County VFD
Tickets
Jan 22 @ 19:00 – 21:00

(719) 689-9479

Read more
Categories: Pre-hospital CE
Feb
26
Wed
2020
Southern Park County VFD
Tickets
Feb 26 @ 19:00 – 21:00

(719) 689-9479

Read more
Categories: Pre-hospital CE
December 2019 – February 2020 Dec 2019 – Feb 2020
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Did you know…

The Medic 16 ambulance was literally built for safety. Members of our organization worked hand and hand with leaders in ambulance design to develop a truly state of the art safety concept. This design is now being duplicated all over the industry. It was built at a lower cost than our other ambulances and has a cutting edge V10 gas engine with a much lower cost of ownership.

Upcoming Classes

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