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NEW YORK STATE DEPARTMENT OF HEALTH Bureau of …

NEW york STATE DEPARTMENT OF HEALTHB ureau of Emergency Medical ServicesCurrent Expiration Date / / Ambulance Service ALS First Response Service (non-transporting)Name of Service Federal Employer ID No. NYS EMS Agency CodePhysical Address of Principal Business Location Street and Number City, Town, Village STATE Zip Code CountyMailing Address (PO Box)Business Phone Number Fax Number 911 Center 10 Digit Phone Number ( ) - ( ) - ( ) -Agency E-mail Address Agency WebsiteOrganizational Structure (check only one) Commercial Hospital Based Independent Industrial Fire DEPARTMENT Municipal/Government College ( STATE or Private Campus/University)Type of Ownership Individual Corporation ( for profit not for profit) Municipal Fire Ambulance District Partnership Municipal ( village town city county) Government ( STATE Federal)

Highest Level of Care Currently Authorized by REMAC (check only one) EMT AEMT Critical Care Paramedic ... Application for EMS Operating Certificate DOH-206 (4/14) p 1 of 2. ... Agency Certification I have received and read and understand the contents of the following documents and will comply with all requirements:

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Form DOH-4376 - Mail-in Application for Copy of …

www.health.ny.gov

Information Page Mail-in Application for Copy of Death Certificate General Instructions Do not use this application for fax requests. Use this application if you are the spouse, parent or child of the deceased.

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Form DOH-4380 - health.ny.gov

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Title: Form DOH-4380 - Mail-in Application for Copy of Birth Certifcate Author: New York State Department of Health Subject: Vital Records Birth Certificate Copy Request

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Medicaid Update - September 2015

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September 2015 Volume 31 | Number 10 Health and Recovery Plan (HARP) Enrollment Notices: What Providers Need to Know Effective October 1, 2015, Medicaid Managed Care (MMC) plans will begin covering expanded Behavioral Health (BH)

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Policy 06-05 National Incident Management System

www.health.ny.gov

On March 5, 1996, Governor George Pataki signed Executive Order No. 26 establishing the National Incident Management System (NIMS) - Incident Command System ...

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UNDOCUMENTED/ILLEGAL ALIENS TREATMENT …

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458 . OTHER ELIGIBILITY REQUIREMENTS . CITIZENSHIP AND IMMIGRATION STATUS . UNDOCUMENTED/ILLEGAL ALIENS. TREATMENT OF AN EMERGENCY MEDICAL CONDITION. Medicaid is available for emergency services provided to

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Part 2: Technical Report

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Hospital‐Acquired Infections in New York State, 2015 Part 2: Technical Report 7 March 29, 2017

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Social Determinants of Health and Community …

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Social Determinants of Health and Community Based Organizations Meeting . July 2015

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IMPORTANT INFORMATION REGARDING …

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WIC Medical Referral Form

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Part 80: Rules and Regulations on Controlled …

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Part 80: Rules and Regulations on Controlled Substances in NYS 80.85 . Administration of controlled substances to addicts and habitual users 86

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APPLICATION FOR EMT/PARAMEDIC CERTIFICATION

www.floridahealth.gov

APPLICATION FOR EMT/PARAMEDIC CERTIFICATION: Emergency Medical Technician (2501) Paramedic (2502) Please TYPE or PRINT in ink. Read instructions carefully before completing. All sections of this application are required to be completed unless otherwise noted. Omissions may delay processing. DH FORM 1583, 04/2017, Rule 64J-1.008 F.A.C. 1.

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1 PARAMEDIC

content.nremt.org

Before you can apply for a Paramedic certification, you must have at least an Emergency Medical Technician (EMT) license or certification. If you have a higher-level license or certification, you also can start a Paramedic education program. You need to be in a Paramedic education program that is CAAHEP accredited.

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Approved Skills and Procedures for Certified EMS Providers

www.doh.wa.gov

The department requires a course application and approval for these skills and issues an endorsement to the provider's certification. The only authorized endorsements are EMT-IV and EMT-SGA. (Not in national scope, MPD option to implement, specialized training required, course application must be submitted and approved by the department, an

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Contents

kyfirecommission.kctcs.edu

P0005 EMT-Paramedic W0003 ARFF Personnel Safety II0000 Special Topics in Firefighting P0006 Mass Casualty/Disaster Management W0004 Emergency Communications II0001 Drones for the Emergency Services P0007 Preparatory W0005 Application of Agents II0002 Response to Special Needs Population

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