Log in

Login to your account

Username *
Password *
Remember Me

Self Report Form

INSTRUCTIONS FOR USE

Self Reports (SR’s) can be completed by Paramedics, Management or others wishing to report a concern or variance. Please complete in as much detail as possible to provide context for full analysis. Note: please don’t include any patient health information (PHI) in your responses.

To report an issue related to a Patch, please click here
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Please select a date
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input

About Us

The Ontario Base Hospital is a fictitious base hospital. This site is used for demonstration, development and testing purposes only.

Login Form

Single Sign On for MedicNET and MedicLEARN.
Your Username is your Email Address.