Report a Community EMS or MIH serious incident

Please note these instructions are for Community EMS, Mobile Integrated Health Care (MIH), and MIH with ED Avoidance (EDA) programs to self-report serious incidents.

If you want to file a complaint about care you or someone else received by personnel as part of a Community EMS, MIH, or MIH with EDA program, please follow instructions on the File a Community EMS, MIH, or MIH with EDA complaint page.

• Your program name and address
• Date and location of incident
• Names and certification numbers (if applicable) of program staff involved in incident
• Patient care report or encounter record(s) number(s)
• Descriptive information about the nature of the incident and corrective action taken