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FORMS

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Albuterol Squad Agreement

Alphabet Course Breakdown for Core Content - NYS CME Program

Blood Glucose Screen

Blood Glucometry Limited Laboratory Application

Regional Blood Glucometry Application

Epinephrine Forms

EPI Pen Use Form

Excellence in EMS Form - [doc]

Intubation Form

Junior EMS Program Tool Kit

Medical Director Verification Form - DOH-4362

NCEMS REMAC Quality Improvement Review

New ALS Equipment List

North Country Pre-Designated Landing Zones

Jefferson & Oswego County
Lewis County
St. Lawrence County

Request Form

Policy Statement/Regional Refusal Form and Instructions

Provider Agreement.doc      Provider Agreement.pdf

Provider Update form.doc

Public Access Defibrillation Forms

Regional Refusal Form and Instructions

Report of Child Abuse or Maltreatment

 


PCR’s may be picked up at the following locations:

Lewis County EMS
Coordinator Office
5252 Outer Stowe Street
Lowville, New York

Jefferson County EMS
Meade Street
Watertown, New York

To Request More PCRs
Click on: ORDER
To assure proper and timely delivery please provide the following information:

  • In the SUBJECT window on the email type: PCR ORDER
  • In the body of the email type the following information:
  • Number of PCRs Requested. (PCRs are bundled in 250/pkg.or we can send your squad any number down to 25.)
  • Squad Name
  • Contact Person's Name
  • Address Where PCRs are to be sent.
  • Click SEND. When the email is opened you will receive a confirming response.

 

Red Lights and Siren Report [pdf] posted 10/17/07

Final Report on Mutual Aid/ALS Interface Use in Our Region [ pdf ] posted 2/11/08

 

RESOURCES
  • St. Lawrence County Plan MCI Plan [doc] [pdf]
  • Lewis County MCI Plan [doc] [pdf]

  Medical Dictionary Online

Free Online Medical Dictionary

This is a free online medical dictionary search engine for definitions of medical terminology, pharmaceutical drugs, healthcare equipment, health conditions, medical devices, specialty terms and medical abbreviations. This site also offers links for Medical News, a Law Dictionary, a Legal Dictionary and a Computer Dictionary.      


North Country Emergency Medical Services Program Agency
of Jefferson, Lewis & St. Lawrence Counties

Comments/Suggestions: mailto:ncems@canton.edu

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