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The Designated NYS EMS Program Agency Serving Chemung,Schuyler & Steuben Counties
1058 West Church St. Elmira, NY 14905
Phone: 607-732-2354

e-PCR Application/Approval Process

  1. The EMS Agency completes form DOH-5136 and submits to the Program Agency (EMSTAR).
    1. If the EMS Agency has operating territory in more than one Region, the EMS Agency will need to submit a copy of the form to all Regions (see the EMS Region(s) section of the form for details).
  2. The Program Agency reviews, signs, scans, and e-mails the form to Bureau of EMS & Trauma
  3. Form will be reviewed, signed, scanned, and e-mailed back to both the EMS Agency and Program Agency – completing the process.

For more information contact:

Michael Tayler

Bureau of EMS & Trauma