FORMS

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Medical Director Verification Form - DOH-4362

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

To Requst 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

Current PCR Screen  Nitronox Use Screen

AED Collection Form  AED pdf

Albuterol Use Form  Albuterol pdf

EPI Pen Use Form   EPI Pen pdf

NCEMS REMAC Quality Improvement Review Request    Request Form pdf

Provider Agreement    Provider Agreement.doc      Provider Agreement.pdf

Provider Update Form   Provider Update form.doc

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.