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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
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{Issue_Type:body} {Issue_Type:validation}
{issue_other:body} {issue_other:validation}
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About Us

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

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