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 (10/2021)
• Non-Transport Vehicle Inspection (12/2019)
• 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
• Letter of Good Standing Request
• Commendation Request

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