Robertson County Emergency Medical Services
Our Family Helping Yours

RCEMS 
Weekly Glucometer Checks
Date:
Bench: (Pass/Fail)
Control Expiration Date:
Truck:
Crew Member Completing Form:
Please use the unit number (i.e 109,110) Look below the submit button for reference.
Comments:
Read carefully. Form was updated on 03/11/2016

Scene Bag: (Pass/Fail)
RCEMS Crew: