As a reminder this document is meant to be viewed in its digital form. There are hyperlinks throughout the document to assist you in navigating quickly from one section to another. Each heading in the table of contents is hyperlinked to their page in the document and the GMVEMSC symbol at the top of each page will take you quickly back to the table of contents.

This document has been through multiple revisions and edits over the past few months. I want to take the time to thank everyone who has taken the time to review this document and send us errors, omissions, and corrections. This document is the culmination of many meetings by area providers and physicians, and I want to thank each of them for their dedication. I want to personally thank Capt. Jeff Bruggeman and Dr. Randy Marriott for your selfless devotion to improving patient care in our region, without your help this would not have been possible. 

Please be on the lookout for the updated Implementation Guide and Training Manual which should be uploaded in the next couple of days. As always if you should have any questions or issues please let me know.