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EMSC Resource Request Form

Pediatric Emergency Resource Request Form

Children's Health Alliance of Wisconsin

Wisconsin Emergency Medical Services for Children (EMSC) provides no-cost resources for emergency departments and first responders statewide. To request these items for your emergency care team, please complete the form below. For more information about EMSC’s resources, please contact ekane@chw.org.

For more information and to fill out the form, please click here.


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