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Affidavit Needed for Emergency Health Care Run Data

The Office of EMS Trauma Systems is asking EMS providers to submit an affidavit to attest that a good faith effort was made to submit calendar year (CY) 2018 emergency health care run data to the Texas EMS Trauma Registry and to reconcile potential discrepancies between emergency health care runs recorded by individual EMS providers during CY 18 and the number of emergency health care runs reflected in the Texas EMS Trauma Registry Report. If the reported run lacks required data elements or includes an incompatible format, the run data may be inconsistent with the emergency health care run report.

The following link will take you to the EMS Allotment Fund home page:

http://www.dshs.texas.gov/emstraumasystems/SB102Elig.shtm

Click on the “Emergency Health Care Runs Announcement for FY 2020” (Above “Contact Verification”) to verify the spreadsheets.

Should you choose to use this affidavit, it must be received/postmarked on or before November 20, 2019.

Email: indra.hernandez@dshs.texas.gov

or mail to:

Texas Department of State Health Services

Office of EMS Trauma Systems

MC1876

Attn: Trauma Systems Specialist

P.O. Box 149347

Austin, Texas 78714-9347

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