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AED Registry Update
Please submit the most up-to-date AED information so that Pasquotank-Camden EMS can help you keep your AED in the best condition possible.
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What is the location name of where this AED stationed?
Your answer
What is the physical address of the location of this AED?
Your answer
What is the specific location of the AED at this facility?
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What times would this AED be accessible to the public?
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Who is the contact person for this AED?
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Please provide a telephone number for use in contacting you regarding this AED?
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What is the email address of the contact person for this AED?
Your answer
What is brand of the AED?
Cardiac Science
Defibtech
LIFEPAK (Physio Control)
Philips
Zoll
Other:
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What is the AED serial number?
Your answer
When do the adult defibrillation pads expire? (This information can be found on the outside of the pad packaging)
MM
/
DD
/
YYYY
When do the child defibrillation pads (if so equipped) expire? (This information can be found on the outside of the pad packaging)
MM
/
DD
/
YYYY
What is/are the battery expiration date(s)?
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Would you like a PCEMS AED Inspector to contact you for assistance with this AED?
Yes
No
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