Forms
| Form Number | Form Description |
| DOH 2260 | Application for Instructor Certification - 2 pages |
| DOH 4135 | Notice of Intent to Provide PAD sample collaborative agreement.pdf *Both forms required* |
| DOH 4453 | Lost your EMT card? Duplicate Card Request |
| Reciprocity - Scroll down - there are three froms | |
| DOH 4188 |
Notice of Intent to Possess and use Epinephrine Auto-Injector and |
| DOH 3474 | Do Not Resuscitate or MOLST |
| LDSS-221A | Report of Suspected Child Abuse or Maltreatment - (PDF) |
| Helicopter Utilization form First Response Application | |
| Regional Forms | |
| CISM Debriefing Report | |
| Video Borrower Application | |
| 499 | Hospital diversion report form.pdf |
| 501 rev | On-line Medical Control Report |
| Medical Director Verification | |
| PAD Quality Assurance Report | |
| 906 | ALS Renewal Form |
| 907 | AED Permit Renewal form |
| EMS Course Evaluation | |
| Photo ID Request | |
| Quality Improvement Forms | |
| Quality Improvement PCR Audit.pdf | |
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