Are you experiencing any of the following symptoms?


  • Stroke Symptoms
(Face Drooping; Arm Weakness; Speech Slurred)
  • Loss of Consciousness
  • Chest Pain
  • Shortness of Breath
  • Severe Pain
  • Uncontrolled Bleeding / Nosebleeds
  • Shock Symptoms
(Decrease in Blood Pressure, Weakness, Dizziness)
  • Seizures
  • Poisoning
  • Severe Allergic Reaction
  • Suicidal or Homicidal Thoughts
  • Moderate or Severe Abdominal Pain
  • Vomiting Blood
  • Severe Headaches
  • Severe Lacerations / Trauma
  • Severe Burns
  • Sudden Visual Changes
YES NO
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