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Recently you or someone in your family used the services of a REMSA ambulance, Care Flight helicopter, a Med-Express wheelchair van or participated in one of our community programs. We would like to know if our programs or service met you or your family member's needs.

Please take a moment to complete this form a submit it to us via email. Your feedback is important to us, as we always strive to improve our service. Thank you for your time.

  * - required fields
   
*Name ::
Address::
City, State Zip::
,
*Phone ::
*Contact eMail ::

If you or your family member were transported by one of our services, please provide us with the date of service and run number located in the upper right corner of your billing statement.

Date of Service ::
(mm-dd-yyyy)
Run Number ::

* This service was provided by
* Are you the
* Was the Dispatcher helpful?
* Were our personnel professional and helpful?
* Did the crew communicate the necessary information to the patient and to the family?
 
* Was the billing staff helpful and polite?


* What did we do well?

* What can we do to serve you better?

* Please comment on any of the questions above or about our care and service in general:

               
Would you like to be contacted concerning your comments?

Please Press Only Once!

   
 
Regional Emergency Medical Services Authority

450 Edison Way Reno, Nevada 89502 (775)858-5700 Fax (775)858-5720