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Bradford | Lackawanna | Luzerne

Pike | Susquehanna | Wayne

Wyoming  

570.655.6818 / 800.427.1911

Fax: 570.655.6824

Resources and Forms

REGULATIONS

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BLS Medical Director Agreement                                                                                                                                  READ

EMT Instructor Application                                                                                                                                            READ

Monthly ALS QI Worksheets

12 Lead EKG (effective Aug. 1, 2008                                                                                                                            READ

End Tidal CO2 Monitor (effective Aug. 1, 2008)                                                                                                            READ

EMS Vehicle Collision and Personal Injury Report Form

Form                                                                                                                                                                              READ

Instructions for Completion                                                                                                                                           READ

Medical Command Authorization Form                                                                                                                         READ

Emergency Medical Services Vehicle Operator (EMSVO) Application                                                                     GET

EMSIB 2016-11:  Certification By Endorsement Application                                                                                  READ

Application                                                                                                                                                                     GET

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PROUD TO SERVE

• Bradford County

• Lackawanna County

• Luzerne County

• Pike County

• Susquehanna County

• Wayne County

• Wyoming County

CONTACT US

169 CenterPoint Blvd.

Jenkins Twp., PA  18640

570.655.6818 / 800.427.1911

Fax: 570.655.6824

Email:  

EMSNP@EMSNP.ORG