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Health Systems Licensing & Regulations Home
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EMT Licensure Verfication
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Home
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Forms, Manuals and Memos
Forms and Manuals
Office Forms and Manuals
All documents are in PDF format unless noted otherwise.
Downloads
Advance EMT Vehicle Inspection Sheet
Advance Response Inspection Sheet
AED Incident Report Form
Ambulance Service Application
| Word
Ambulance Service License Checklist
Advanced Course Completion Form
Aircraft Inspection Shee
ALS Required Medication List
Application to Conduct an Advanced Course
| Word
Application to Conduct an EMT Basic Course
| Word
Application to Conduct an EMT-Basic Refresher
| Word
Application to Conduct an EMT Instructor Course
| Word
Application to Conduct an EMT-Paramedic Refresher
| Word
Application for EMS Registration of Aircraft
| Word
Arkansas Certified EMT Patch/Rockers Order Form
Background Check Form
Background Check Release:
Individual
|
Institution
Basic Life Support Protocols
Basic Site Accreditation Manual
CEU Application
| Word
CEU Course Audit Form
Complaint Form
Complaint Form (Self Reporting)
EMS Backfill Agreement
EMS Data Dictionary
EMS PCR Short Form
EMT Application
EMT Basic Course Completion Form
EMT Vehicle Inspection Sheet
EMSP Tracking Form
Instructor Course Completion Form
Lay Evaluator Application
Lay Evaluator Monitor
Memorandum of Understanding
Optional Drug List Available Usage on Advanced Response Air and Paramedic
Paramedic Site Accreditation Manual
Paramedic Vehicle Inspection Sheet
Pre-evaluated Emergency Landing Area Site Information Sheet
Prehospital Code Manual for EMS Services
Refresher Course Completion Form
Rapid Sequence Intubation (RSI)
Reciprocity Manual
Required Intermediate Equipment Inspection List
Sample Protocols & Training Plans for IO, CPAP, Huber, CVA
Stretcher Ambulance-Required Basic Life Support Equipment List
Stretcher Ambulance Vehicle Inspection Sheet
Training Site Inspection List
Upgrade/Downgrade Request Form
| Word
Vehicle License Application
(New) | Word
Vehicle License Application
(Renewal) | Word