Effective Ambulance Organizations are built on a foundation of excellence in patient care. This documentation guide is designed to serve and strengthen that foundation by allowing for accurate, consistent and relevant patient care documentation throughout the prehospital, interfacility, and mobile integrated health experience. Because the healthcare environment demands a higher and more consistent quality of documentation, the American Ambulance Association has developed this comprehensive Documentation Guide to assist ambulance services in gathering and submitting the proper information demanded by regulatory agencies, insurance payors, and consumers. This Documentation Guide is designed to assist ambulance service organizations and EMS training institutions in educating their emergency medical technicians, paramedics, personnel, and students in the appropriate standards for documentation. It is also designed to help operational personnel, telecommunicators, reimbursement specialist, and others understand their role in the documentation process.