EMS Related Forms Accordion
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Forms for EMS Personnel
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Fingerprint Background Instructions Only - GA Residents
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Fingerprint Background Instructions Only - Out-of-State Residents
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Out-of-State Verification Form (This form must be completed for EACH state/territory/region where an applicant holds a healthcare license/certification.)
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C-09-A Voluntary Surrender Form
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Verification of Lawful U.S. Residency Form
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List of Acceptable Secure and Verifiable Documents
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Support Letter for NREMT Pathways for Registration
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EMS Agency Forms for the License Management System (LMS)
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Vehicle Inspection Forms
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Forms Related to EMS Initial Education Programs
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T-04-A EMS Education Program Application
- Initial Education File Review Forms - updated 4/22/2020 for COVID-19
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EMT Psychomotor Exam Report
- Psychomotor Exam Skills Verification Sheets - EMR | EMT
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Bleeding Control & Shock Management
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BVM Ventilation of Apneic Adult Patient
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Cardiac Arrest Management & AED
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Joint Immobilization
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Long Bone Immobilization
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Oxygen Administration by Non-Rebreather
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Patient Assessment & Management-Medical
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Patient Assessment & Management-Trauma
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Spinal Immobilization Supine Patient
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Spinal Immobilization Seated Patient
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Family Educational Rights and Privacy Act (FERPA) Form
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Specialty Designation Information
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Miscellaneous Forms