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EMS Education Program Sponsors (Initial & Continuing Education)
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Application for Initial Approval (for initial EMS Education, Instructor-Coordinator Education, and Continuing Education Programs)
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BHPPA-EMS 136 (Revised: 4/2009)
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Re-Approval Program Application
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BHPPA-EMS 136b (Revised: 7/2005)
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Interim Course Application (Fill-in Format)
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BHPPA-EMS 136a (Revised: 10/2007) (Word Document)
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Satellite Location Application
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BHPPA-EMS 136s (Revised: 2/2006)
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Notification of Change in Education Program
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BHPPA-EMS 136r (Revised: 10/2007) |
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MFR & EMT Practical Examination Assurance Statement
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(Revised: 9/2007)
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EMS Education Program Sponsor Explanation and Criteria
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(Revised: 4/2009)
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Application for CE Topic
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BHPPA-EMS-202 (Revised: 9/2011) |
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Application for CE topic(s) not included in initial CE approval
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BHPPA-EMS-202c (Revised: 9/2011) |
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CE Approval Guidelines
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(Revised: 10/2007)
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Education Objectives
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Medical First Responder
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MFR Objectives
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Emergency Medical Technician
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EMT Objectives
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Emergency Medical Technician - Specialist
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EMT-S Objectives
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Paramedic
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Paramedic Objectives
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Instructor-Coordinator
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IC Objectives (Revised: 4/2009)
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General Forms & Publications
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Initial/Refresher Education Course Schedule (Fill-in Format)
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(Revised: 9/2007) (Microsoft Word) |
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Initial/Refresher Education Course Completion Roster (Fill-in Format)
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BHPPA-EMS 122 (Revised: 3/2011) (Microsoft Word)
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MFR/EMT Practical Competency Re-Verification Form (Fill-in Format)
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(Revised: 3/2008) (Microsoft Excel) |
CE Program Schedule (Fill-in Format)
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(Revised: 9/2007) (Microsoft Word) |
Sample Attendance Roster for CE Credits
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(Revised: 2/2006) (Microsoft Word) |
Sample Proof of Attendance (Chit Sheet)
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(Revised: 3/2006)
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Pre-Approved Standardized CE Credits
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(Revised: 2/2008) |
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Subject Matter Expert/Qualified Instructor Policy
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(Revised: 6/2005)
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Program Approval Packet Samples
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(Revised: 2000)
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National Registry Practical Skill Sheets
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MFR Skills (ZIP/PDF File Format)
EMT Skills (ZIP/PDF File Format) |
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Initial/Refresher Education Course Audit Sheets
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MFR
MFR Refresher
EMT Matriculation
EMT
EMT Refresher
EMT-Specialist
EMT-Specialist Refresher
Paramedic
Paramedic Refresher
Instructor-Coordinator
RN to EMT
RN to Paramedic
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