Eastern Pennsylvania Emergency Medical Services Council

Download Files & Forms

NEWS BLAST Draft EMS Act Regulations

All Eastern Pennsylvania Emergency Medical Services Council forms and other publications that are available for download are in the PDF format. If you do not have a copy of the Adobe Acrobat Reader it may be downloaded without cost by clicking here

Watch this page for more downloads to be added soon.
The following documents are currently available for download:

Protocols

H1N1 Provider Letter from the PA Department of Health
Suspected H1N1 Influenza A Statewide BLS Protocol.pdf
BLS Protocol Update (effective 7/1/2011)
ALS Protocol Update (effective 7/1/2011)

Regional Medication List
State Approved Medication List

Volunteer Tax Credit Documents

Volunteer Tax Credit Information
Talking Points

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School Bus Initiative

Level III Trauma Center Lecture Slides

Fentanyl and Ativan In-Service PowerPoint  (get powerpoint reader) 

Quality Assurance Checklists - these checklists were developed by the QA&I Committee to assist services with performing service-level QA on PCRs.

Air Ambulance Usage QA Checklist - use this form to perform service-level QA for any scene flight.  This should be done prior to submitting the PCR to the EMS Council. 

Proposed Changes to EMS Act
This is a draft documents only and is not in effect … any questions should be directed to Eastern Pennsylvania Emergency Medical Services Council office.

EMS Vehicle Collision & Personal Injury Report Form

Licensure Documents

Click here for a link to our "licensure" page under Ambulance Providers for additional documents not listed here; this includes the inspection checklists.

Ambulance Service Required Policy Templates

BLS Service Medical Director Agreement Template

ALS Service Medical Director Agreement Template

Medical Command Physicians

Are you a Medical Command Physician and need to complete a Medical Command Physician Application?  Click here to print the form. 

HIPAA Downloads:
New All Non-Required Policies Document
New All Required Policies Document

HIPAA Compliance Power Point Presentation
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Other items of interest:


Council Application
Applicants Must Live or Work Within The Eastern PA Region

Medical Command Authorization Form  (For Paramedic/PHRN Use)
Regional Hospital Diversion Policy
Research Codes in Use In Eastern PA EMS Region
Rules & Regulations
Disaster Operating Guidelines


Eastern PA EMS Council Bylaws