1/31/2023 6:35:34 PM Resources & Tools | hartfordhospital.org | Hartford Hospital | Hartford, CT

LIFE STAR | Resources & Tools

Information & Forms

For Health & Emergency Personnel

CODE 100
This form is used to gather information needed for scene calls
Inter-Hospital Transport
This form is used when inter-hospital transport to another facility is requested
Transport Physician Certification Form
This form is used by physicians to certify transport of a patient
STAR Program Observer Registration
This form is required by those interested in participating in the STAR Program

For the Public

LIFE STAR Speaker Request Form
Use this form to request a speaker for your event
LIFE STAR Promotional Event Form
Use this form to request a visit by LIFE STAR at your promotional event

Note: Some of these forms require the latest version of Adobe Acrobat® reader. Click here to obtain this free upgrade if needed.

LIFE STAR eLINES

LIFE STAR eLINES is the official newsletter of LIFE STAR providing the latest in LIFE STAR news and research as well as profiles of crew members.

LIFE STAR

Location

LIFE STAR
P.O. Box 5037
80 Seymour Street
Hartford, Connecticut
06102-5037
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