No. new york state department of health bureau of emergency medical services policy statement supersedes/updates: 10 - 04 date: may 24, 2010 re: ketamine for prehospital ems services page 1 of 3 this policy statement establishes the state...
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Application for the new york state ems council annual awards new york state department of health bureau of emergency medical services candidate s name home mailing address city state county phone ( zip ) credentials (certifications, etc.) rn md/do...
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Application for the new york state ems council annual awards new york state department of health emergency medical services bureau candidate s name: home mailing address: zip: state: city: county: phone number: ( ) credentials (certi cations,...
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New york state department of health ems agency personnel roster bureau of emergency medical services agency name agency code date submitted page of list all personnel alphabetically last name, first name doh -2828b (3/07) date of birth certified...
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New york state department of health bureau of emergency medical services funding document for ems agencies please complete the following information regarding the funding of your agency. note: response is mandatory. failure to complete this form...
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New york state department of health wadsworth center clinical laboratory evaluation program empire state plaza, p.o. box 509 albany, new york 12201-0509 disclosure of ownership and controlling interest statement telephone: (518) 485-5378 fax:...
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New york state department of health bureau of emergency medical services certified ems agency information update form name of service doh agency id #: dba or assumed name if any physical location / address service mailing address city, state,...
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No. new york state department of health bureau of emergency medical services policy statement supercedes/updates: 98-10, 06-03 07 - 04 date: 09/27/2007 re: public access defibrillation page 1 of 5 the purpose of this policy is to assist a person,...
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New york state department of helath emergency medical services development program instructor information sheet emt number cli/cic number name last address street first & middle initial city county state zip code phone 1 area code phone 2 area...
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New york state department of health bureau of emergency medical services application for instructor certification instructions: this application must be completed, signed and the required documents submitted prior to certification. please print or...
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New york state department of health bureau of emergency medical services agency registration form continuing education recertification program print neatly in upper case letters - complete all information - incomplete forms will be denied and...
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New york state department of health emergency medical services program course memorandum to: new york state doh bureau of ems certification unit 875 central avenue albany, ny 12206 course number: number of applications submitted: 3 starting date:...
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New york state department of health duplicate card request bureau of emergency medical services please type or print emt number expiration date name last and suffix name change first and middle initial address change address number and street...
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New york state department of health verification of membership in a nys ems agency bureau of emergency medical services please print legibly in capital letters or type. put one letter or number in each box. this form must be completed and returned...
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No. 08-07 new york state department of health bureau of emergency medical services policy statement date: november 20, 2008 re: medical orders for life sustaining treatment (molst) supersedes/updates: 99-10 page 1 of 3 purpose the purpose of this...
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