When an EMS Agency in Allegany, Cattaraugus, or Chautauqua counties would like to add a new member to their roster or reinstate a former member, the following must be submitted to STEMS for each person on the Southern Tier Health Care System, Inc. LMS at: https://collabornation.net/login/STEMS

1. Provider Privilege Application
2. Skill sheet completed by an approved preceptor
3. Patella Dislocation Certificate
4. 2019 NYS BLS Adult and Pediatric Protocol Update through Vital Signs Academy
5. Copies of certification and ancillary cards
   1. NYS EMT Card – All levels of care
      1. If you do not have a copy of your NYS EMT card, you can request a copy be sent to you via email.
   2. CPR – All levels of care
   3. ITLS – AEMT, Critical Care and Paramedic
   4. PALS – Critical Care and Paramedic
   5. ACLS – Critical Care and Paramedic
6. Any other requirements set forth by your agency's Medical Director (be sure to consult with them on adding a new provider)

Additionally, if your agency is in Cattaraugus County and utilizes Dr. Walters as your Medical Director, please be sure to complete the checklist and required precepted calls form.