Service Provider Certifications, Forms and Information
Website Changes: Can't Find What You're Looking For?
EMS certifications and training information has been consolidated into fewer pages and reorganized into different sections as part of a larger effort to better organize the IDHS website and help users find information more easily. Here's what changed: ...
- Online Continuing Education information is now on the Individual Certifications page under Online Continuing Education.
- Testing Information is now on the Individual Certifications page under Testing Information. The link for program directors to register with the National Registry is on the Guidance and Forms for Training Institutions and Primary Instructors page under National Registry Registration.
- Course Information is now on the Guidance and Forms for Training Institutions and Primary Instructors page under Course Standards and Guidelines.
Some information has been reorganized into two kinds of sections:
- Collapsible (drop-down) sections: Open and close when selected.
- Tabbed sections: Allow you to select different tab headings to find different types of information.
For example, on the Individual Certifications page, application forms for different EMS positions are located in the Applications and Curriculum collapsible (drop-down) section. Once opened, you can choose which type of application form you want by selecting the different tabbed headings (EMR, EMT, etc.). The current selection is shown in white, while the other options are shown with blue headings.
If you have questions regarding rules, equipment or standards while filling out the applications, please refer to the Title 836 rules found at EMS Rules and Laws.
ALS and BLS Provider Forms
- Emergency Vehicle Equipment Checklist - General
This checklist includes all of the mandated equipment to be carried on BLS and ALS vehicles. Please have ready only the equipment pertaining to your level of service.
Applications
- Initial - ALS Service Provider Application (new or upgrading service)
- Renewal Application
- Staff Roster (also needs to be signed by medical director)
Medical Director Approval Forms
Information
Applications
- Initial - BLS Service Provider Application (new or upgrading service)
- Renewal Application
- Staff Roster (also needs to be signed by medical director)
Medical Director Approval Forms
Applications
- Initial - BLS Service Provider Application
- Renewal Application
- Staff Roster (also needs to be signed by medical director)
Medical Director Approval Forms
Information
Miscellaneous Provider Forms
Applications
- Initial and Renewal Application
- Aircraft Application for Certification
- Staff Roster (also needs to be signed by medical director)
Medical Director Approval Form
Information
Applications
- Initial and Renewal Application
- Staff Roster (also needs to be signed by medical director)
Note: On Section E, "approval of medical staff" means the CMO or Chief of Staff, NOT the service or ED Medical Director.