Contra Costa EMS
Please use the online form below to pertinent information regarding the event - if you would prefer, you may download the EMS Event Reporting form and submit as directed on the form.
Questions about EMS Event Reporting? Please contact the EMS agency at 925-608-5454.
This information should originate from the provider involved and may be submitted anonymously. Please be advised that anonymous reporting may impact the ability to respond to your concern.
No patient names or other personal patient information should be reported on this form.