Who Can Register

Verified agencies may apply for a RescuForm Agency Account, including:

• Fire Departments
• EMS and Ambulance Services
• Hospitals

What Your Agency Gets

• Access to Patient Forms
  Securely search and view RescuForms submitted by individuals in your community, even before arriving on scene.
• Employee Access Control
  Add your staff as verified users, including paramedics, EMTs, firefighters, dispatchers, and other healthcare professionals. Each can access the provider version of the RescuForm app in the field.
• Emergency Only Search Protocol
  Every form viewed is time-stamped and requires confirmation of an active emergency. Patient safety and transparency are built in the app.
• Forwarding Feature
  Instantly forward RescuForms from dispatch to first responders within your agency. No delays, faster access. Just seamless continuity of care.
• Community Messaging System
  Send real-time alerts and public safety messages through the notification center. Communicate with local app users in your community about emergencies, severe weather, public health notices, and events.

Order QR Code Magnets

Customize QR code magnets with our sponsorship program to expand public awareness.

Order QR Codes - Sponsorship Program

Patients in your area will know their information is accessible, secure, and trusted by the professionals in their own community.

Why It Matters

Too often, responders arrive without the information they need.
RescuForm changes that by building a bridge between the public and healthcare providers, so they can work together before, during, and after an emergency.

Your agency gets the tools.
The public stays protected.

Sign Up Your Agency Here

Simple. Secure. Trusted by First Responders.