top of page

Data Entry QR Codes

Scan the QR code to open the form on your phone or click the QR code to open the form on your computer.

All Agency

Screenshot 2025-10-21 at 11.26.56 AM.png

V.I.T.A.L.S

Screenshot 2025-10-21 at 11.27.27 AM.png

HIGH RISK /
LOW FREQUENCY

EMR Agency

Screen Shot 2021-05-08 at 7.36.50 PM.png

EMRA
PCR
Form

Screen Shot 2021-05-08 at 7.36.42 PM.png

EMRA
Patient Refusal
Form

Screen Shot 2021-05-08 at 7.36.32 PM.png

EMRA
QA
Form

EMS Agency

Screenshot%202021-04-19%20153120_edited.

EMS Patient
Refusal
Form

Screenshot%202021-04-19%20153120_edited.

EMS
Quality

Assurance
Form

Get in Touch

3000 W Memorial Rd, Suite 123745
Oklahoma City, OK 73120

(405) 876-7090

Thanks for submitting!

Connect with Heartland

  • Facebook
  • LinkedIn
  • Instagram

©2021-2025 by Heartland Medical Direction
All Rights Reserved

bottom of page