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System Documents / Forms


  • Multiple Patient Refusal (2012)
  • School Bus Incident Release Form
  • School Bus Incident Release Continuation Form
  • Drug Exchange Record (3/2019)
  • Controlled Substance Inventory  (Full Time Department)
  • Controlled Substance Inventory  (Part Time Department)
  • Controlled Substance Inventory  (Non-Transport)
  • Controlled Substance Inventory Form - Nitrous
  • LEMSS Ambulance Inspection (12/25)
  • Non-Transport Vehicle Inspection (12/25)
  • Non-Impaired CQI
  • Name / Address Change Instructions
  • EMD, FR, EMT, PARAMEDIC, PHRN Renewal Instructions
  • LI Renewal Instructions
  • ECRN Renewal Instructions
  • EMS Personnel Data Form
  • Criminal Background Check Verification
  • Record of Continuing Education
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  • Commendation Request

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