Common use of Incident Information Clause in Contracts

Incident Information. The Client will submit to the Service Provider an electronic patient care run report which provides the following information, when possible: 2.2.1 Run or incident number 2.2.2 Date and time of incident and/or transport 2.2.3 Transport to and from locations 2.2.4 Medical information and patient care specifics, including narrative 2.2.5 A hospital FIN sheet, or the equivalent detailing the following: 2.2.5.1 Patient name and phone number 2.2.5.2 Patient address, including apartment number or lot number 2.2.5.3 Patient date of birth 2.2.5.4 Patient full and complete medical insurance information 2.2.5.5 Patient social security number