EMS Forms

Please use the dropdown below to find the form(s) you are looking for: 

To return to the Bureau of EMS Website: Click Here

 

CONTACT US

COMPLAINTS & INVESTIGATIONS

DATA & INFORMATICS

EDUCATION- CERTIFICATION & CME PROGRAM

EDUCATION-TRAINING & INSTRUCTORS

EMS AGENCY OPERATIONS

EMS FOR CHILDREN AND PECC PROGRAM

Prehospital Pediatric Emergency Care Coordinator Form: Click Here

EMS PROVIDER FEEDBACK & SURVEYS

FINANCE

MENTAL HEALTH AND WELL BEING

PART 18- PUBLIC GATHERING AND PUBLIC FUNCTION

Regulation: Title: Part 18 - Public Functions With Attendance Of Over 5,000 People | New York Codes, Rules and Regulations (ny.gov)

New York State Mass Gathering Planning Guide: nys-mass-gathering-planning-guide-final-6-12-2018.pdf

 

DOH-44 Application for a Permit for a Public Gathering: Click Here

File Attachment Upload (for emergency operations, event action, crowd management, evacuation plans and other sensitive documents): Click Here

 

Post Event Forms: 

DOH-2332 Part 18 Public Function Event Report: Click Here

DOH-2342 Part 18 Public Function Medical Incident Log: Click Here

 

For events taking place in New York City, Long Island, the Hudson Valley, Capital Region or North Country contact Stephen.Brucato@health.ny.gov; and for events taking place in the Mohawk Valley, Central NY, Southern Tier, Finger Lakes or Western NY contact Melissa.Lockwood@health.ny.gov; with any questions.

ESD Map: Regions | Empire State Development (ny.gov)

PUBLIC ACCESS DEFIBRILLATION

PUBLIC EVENTS

Schedule for Meeting Dates and Events: Click Here

NYS EMS Memorial Page: Click Here

VITAL SIGNS