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To assist our EMS agencies with paperwork and policies, the North Country EMS Program Agency maintains a comprehensive resource library of relevant forms, credentialing materials, guidelines and manuals, lists, and other important documents. Please browse the resource library below and click on any document to open a printable, downloadable copy
Please note, if applying for multiple BLS Adjuncts (Modalities) only one DOH 4362 form is required
Medical Director Verification Form (DOH 4362)
For Syringe Epi- Complete the 4362 form for notification to our office and we will submit it to the DOH.
Syringe Epi Sample SOG
BLS 12 Lead Acquisition-
Department of Health Forms Commonly Used by EMS Providers
Semi-Annual Controlled Substance Inventory Form for EMS Agencies
Surviving & Thriving EMS Financial Management
Patella Dislocation and Reduction
Debriefing: Neonatal Resuscitation
Complex Obstertric Deliveries: Complications of Delivery
EMS Dental Emergencies: Avulsed Tooth
Surgical Cricothyroidotomy (Surgical Airway)
