Request for medical direction to purchase an AED

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Public Health
Seattle & King County
401 5th Ave., Suite 1300
Seattle, WA 98104

Phone: 206-296-4600
TTY Relay: 711

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	Home » Emergency Medical Services (EMS) » CPR-AED Program » Medical direction

Emergency Medical Services
Automated External Defibrillator (AED)

	To request medical direction to purchase an AED, please fill out all 12 questions on the form below then press the Send button.
	If you are beginning the process to purchase an AED, click here.

1. Your name:

2. Your phone number with area code:

3. Participant/company name:

4. Site/Location:

5. Site Address (including city, state, zip):

6. Type of business:

7. Site Coordinator's name:

8. Site Coordinator's phone with area code:

9. Site Coordinator's fax with area code:

10. Site Coordinator's email address:

11. Type of AED:

12. Number of AEDs:

did you know...

Washington State Law requires that you register your AED with your local EMS.

For further assistance, call King County EMS at 206-296-4693.

Updated: Monday, August 06, 2007 at 01:46 PM

All information is general in nature and is not intended to be used as a substitute for appropriate professional advice. For more information please call 206-296-4600 (voice) or TTY Relay: 711. Mailing address: ATTN: Communications Team, Public Health - Seattle & King County, 401 5th Ave., Suite 1300, Seattle, WA 98104 or click here to email us. Because of confidentiality concerns, questions regarding client health issues cannot be responded to by e-mail. Click here for the Notice of Privacy Practices. For more information, contact the Public Health Privacy Office at 206-205-5975.

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