| Release Date |
AEMT Course Record | 5/10/2012 |
AEMT Live Scan Form | 4/30/2020 |
AEMT Skills Verification Form | 1/1/2007 |
AEMT Training Program Approval Packet | 2/9/2015 |
ALS Skills Competency Form | 7/20/2023 |
Automated External Defibrillator (AED) Annual Usage Report Form - Public Safety | 7/1/2015 |
Automated External Defibrillator (AED) Site Notification Form | 8/6/2018 |
Automated External Defibrillator (AED) Use Notification Form | 7/1/2015 |
Continuing Education Class Log Monthly Report Form | 3/1/2012 |
Continuing Education Class Roster Form | 1/8/2015 |
Continuing Education Provider Approval Application (Reference #2010) | 4/23/2020 |
CQI FORM001 - Radio Communication Failure Notification | 6/1/2011 |
CQI FORM002 - Radio Communication Failure Investigation | 6/1/2011 |
CQI FORM003 - Paramedic Field Care Audit | 6/1/2011 |
CQI FORM004 - MICN Chart Audit | 6/1/2011 |
CQI FORM005 - Quality Improvement Log | 6/1/2011 |
CQI FORM006 - MICN Tape Evaluations Summary | 12/1/2011 |
CQI FORM007 - Quarterly Report | 6/1/2011 |
CQI FORM008 - Unusual Occurrence Confidential Case Review Request | 1/18/2018 |
CQI FORM009 - Confidential Case Review Evaluation | 6/1/2011 |
CQI FORM011 - Exceptional Performance Report | 6/1/2011 |
CQI FORM012 - Annual Report | 6/1/2011 |
CQI FORM013 - Assess and Refer | 12/23/2020 |
DNR Do Not Resuscitate Form - Prehospital EMS Providers Official State Document | 1/1/2009 |
Drug and Equipment Waiver Request Form | 5/30/2023 |
Duplicate Card Application | 7/1/2019 |
EMD Center Application | 9/24/2015 |
EMS Aircraft - Provision of Medical Control Permit Application | 5/24/2017 |
EMT / AEMT Supplemental CE Form | 9/11/2014 |
EMT Course Record | 10/2/2015 |
EMT Live Scan Form | 4/30/2020 |
EMT Request for Duplicate Card Application | 3/9/2020 |
EMT Skills Verification Form | 7/1/2017 |
EMT Training Program Approval Packet | 6/9/2017 |
EMT-P Course Completion Record | 7/15/2019 |
EMT-P Training Program Approval Packet | 3/30/2016 |
Fireline paramedic- Deployment Notification Form | 7/17/2023 |
MICN Course Record | 9/10/2012 |
MICN Training Program Approval Packet | 9/10/2012 |
Personnel Authorized to Verify Skills Competency Request Form | 5/12/2015 |
Police Dog Transport Form | 12/27/2018 |
POLST Form - Physician Orders for Life-Sustaining Treatment (EMSA #111B) | 1/1/2016 |
Provision of Medical Control - Information Form (for New Providers only) | 6/8/2016 |
Provision of Medical Control - Information Update Form | 6/8/2016 |
Public Safety AED Service Provider Application (Reference #15060) | 4/23/2020 |
Public Safety First Aid and CPR Training Program Approval Application (Reference #2030) | 4/23/2020 |
Public Safety Optional Skills Course Approval Application (Reference #2040) | 4/23/2020 |
Quarterly Declaration | 8/8/2013 |
Request for Access to ImageTrend Hospital Hub | 2/10/2021 |
RESOURCE REQUEST FORM (COVID-19 | 3/19/2020 |
Resource Request: Medical and Health FIELD to OA | 8/11/2011 |
Special Events Treatment Log | 7/15/2021 |
Specialty and Optional Scope Program Approval Application (Reference # 4030 & 4080) | 4/23/2020 |
STEMI Critical Care System Designation Approval Application (ICEMA Reference #4040) | 4/23/2020 |
Stroke Critical Care System Designation Approval Application (ICEMA Reference #4070) | 4/23/2020 |
Submersion Incident Report Form SIRF (For Reporting all Drowning or Near Drowning Incidents in San Bernardino County) | 9/17/2013 |
Suspicious Injury Report - Cal OES 2-920 Confidential Document | 12/27/2018 |
Tactical Casualty Care Course Approval Application (ICEMA Reference #2050) | 4/23/2020 |
Training Program and Continuing Education FY Annual Report Form | 2/5/2017 |
Trauma Care System Designation Level I & II Approval Application | 9/27/2021 |
Trauma Care System Designation Level IV Approval Application | 9/27/2021 |