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UnityPoint Health | Trinity
. A new name. A new day in health care.
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EMS Forms
Below you will find state and system forms for current and aspiring EMS professionals. Feel free to download and utilize any content provided on this page.
EMS Forms for Current/Future EMS professionals:
Request-for-Reciprocity.pdf
Special-Events-Form.pdf
staff-waiver.pdf
Child-Support-Statement.pdf
Emergency-Medical-Systems-Extension-Application.pdf
equipment-vehicle-waiver.pdf
IDPH-Ambulance-Inspection-Form.pdf
IDPH-CEU-Training-Application.doc
IDPH-CEU-Training-Application-Paper.pdf
Illinois-Department-of-Public-Health-CEU-Recommendations.pdf
Inactive-Reactivation-Application.pdf
Independent-EMS-License-Renewal-Request-Form.pdf
Non-Transport-Inspection.pdf
ER
Wait Time
Bettendorf
ER
15
minutes
?
as of 6:44 AM on 5/18/2013
Wait Time
Bettendorf
Express Care
0
minutes
?
as of 3:21 PM on 5/18/2013
Wait Time
East Moline
Express Care
5
minutes
?
as of 12:23 PM on 5/18/2013
Wait Time
Moline
Express Care
10
minutes
?
as of 4:11 PM on 5/18/2013
Wait Time
Muscatine
Express Care
20
minutes
?
as of 2:02 PM on 5/18/2013
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Trinity Moline
500 John Deere Road
Moline, IL
(309) 779-5000
Maps & Directions
Virtual Tours
Trinity Rock Island
2701 17th St.
Rock Island, Il 61201
(309) 779-5000
Maps & Directions
Virtual Tours
Trinity Bettendorf
4500 Utica Ridge Rd.
Bettendorf, IA
(563) 742-5000
Maps & Directions
Virtual Tours
Trinity Muscatine
1518 Mulberry Avenue
Muscatine, IA 52761
(563) 264-9100
Maps & Directions
Moline
Rock Island
Bettendorf
Muscatine
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Illinois: (309) 779-5000 | Iowa: (563) 742-5000 | Muscatine: (563) 264-9100 | Health Information & Physician Referral: (877) 242-8899 | Crisis Center Hotline: (309) 779-2999