Forms

Advanced Standings Forms

Agency Information Update Form

BEMS Policy Statement - Vehicle Signage and Lettering

CIC Intership Form 

Check & Inject NY Pilot Program Application
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Ebola Preparedness Plan Sample Policy

ePCR Application
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ePCR Application with emsCharts

Epinephrine Auto-Injector Application

Level of Care Change Form

Medical Director Verification Form

Medical Director Change Form

Narcan Administration Paperwork

PAD/AED Application 

PAD - Checklist and Sample Policies and Procedures

PAD - AHA Implementing and AED Program Guide

Notice of AED use by PAD

Paramedic Program Application

PCR Coversheet

Preceptor Application

Prehospital Drop Sheet - excel

Prehospital Drop Sheet -pdf

Provider Privileges Application

Skills Evaluation Form

Voucher for Vital Signs Conference - Cattaraugus County

Voucher for Vital Signs Conference - Allegany County

Voucher for Vital Signs Conference - Chautauqua County

Tax Credit Form for Volunteer Fire Fighters and Ambulance Workers