Request for PRSO Investigation - Detroit East Medical Control Authority

Request for PRSO Investigation

The following form may be used to request an investigation from DEMCA’s Professional Standards Review Organization (PRSO). For all other inquiries, please use our general contact form. (this form is not a substitute for mandated reporting of abuse or neglect of child or adults)

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Date of Form Submission

Date of Incident(Required)

Run Number

Details of the Incident(Required)

Contact Information

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Name

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Email

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