Renewal of Certification through Continuing Education (Pilot) Program
The following forms are updated to meet the new Education Standards.
DOH-5064 Supplement Form - This form is to be used in conjunction with DOH-4228 or DOH-4229. This form was developed for those providers who already have CME hours on form DOH-4228 or DOH-4229, and wish to meet the new Standards without losing any CME hours that they may have already completed. DOH-5064 is required in addition to all required hours on DOH-4228 or DOH-4229. All hours on both forms must be completed in their entirety. Once you have submitted these two forms for your renewal, your next recertification must utilize DOH-5065. This form is to be utilized for all providers recertifying prior to June, 2014.
- DOH-5064 Supplement Form (PDF, 18KB, 1pg.)
DOH-5065 EMT Recertification Form - This is the new EMT recertification form that is fully compliant with the new Standards. This form is to be used if you choose not to use DOH-5064 along with DOH-4228. If you have not already begun completing CME hours you will use this form. This form is to be utilized for all providers recertifying on or after June, 2014 however, this form may be used prior to this date.
- DOH-5065 EMT Recertification Form 2012 (PDF, 24KB, 2pg.)
DOH-5066 - This is the new Critical Care recertification form, which is to be utilized for all providers recertifying on or after June, 2015 however, this form may be used prior to this date.
- DOH-5066 AEMT Critical Care Recertification Form 2013 (PDF, 24KB, 2pg.)
DOH-5067 - This is the new AEMT recertification form, which is to be utilized for all providers recertifying on or after June, 2015, however, this form may be used prior to this date.
- DOH-5067 AEMT Recertification Form 2013 (PDF, 23KB, 2pg.)
DOH-4231 - This is the new Paramedic recertification form, which is to be utilized for all providers recertifying on or after June 2015, however, this form may be used prior to this date.
- DOH-4231 Paramedic Recertification Form 2013 (PDF, 24KB, 2pg.)
3 Year Continuing Educational Recertification Program
The Pilot Recertification Program allows an EMT, EMT-Intermediate, EMT-Critical Care or Paramedic, who is in continuous practice, demonstrates competency and completes appropriate continuing education, to renew their certification without taking a certification exam.
On August 17, 2001, Governor Pataki signed into law Chapter 190 of the Laws of 2001. This extended the law calling for the Commissioner of Health to develop a pilot program in at least six regions to allow an EMT/AEMT who is in "continuous practice," who has "demonstrated competence in applicable behavioral and performance objectives," and who has "demonstrated completion of appropriate continuing education," to renew their certification "without requiring the completion of a written examination."
The law prohibits the participation of any employee of a municipal ambulance service in cities with a population over one million.
3 Year Continuing Educational Recertification Program Manual
- 3 Year EMS Continuing Medical Education, (CME) Recertification Program Manual (PDF, 209KB) - Updated April 18, 2013
- Department of Health Forms Commonly Used by EMS Providers
Please be advised that an updated Recertification Manual in PDF is upcoming.
Updates to the 3 Year Continuing Educational Recertification Program
5 Year Continuing Educational Recertification Program
The 5 Year program is limited to employees of the New York City Fire Department or those providers who are in practice in the following counties: Delaware, Fulton, Hamilton, Montgomery, Nassau, Otsego, Schoharie or Suffolk.
For questions regarding the program or if you are unable to download any of the forms please contact:
New York StateBureau of Emergency Medical Services
875 Central Avenue
Albany, N.Y. 12206
518-402-0996
Fax 518-402-0985
