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Bureau of Emergency Medical Services
Documents & Forms

Advanced Life Support | Annual Awards |
Automated External Defibrillators | EMS Best Practices |
Licensing | Research and Quality Management/TEMSIS |
System Surveys, Assessments and Reviews | Training, Education and Practical Exams | Trauma System
 

Advanced Life Support

Preplanned Medical Standby Coverage Plan Adobe Acrobat Reader Symbol
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Annual Awards

The Annual EMS Awards nominations are "opened" for submission at all times. Consideration of the nominations is made by the EMS Awards Committee within two months following the July 1st deadline. The Awards ceremony takes place in conjunction with the Fire Service Committee of Merit Awards, held in September of each year. Please contact Kathy Doolan, Captain, EMS Operations for additional details.
Throughout the year, as you wish to recognize an agency or individual during future award events, there is an "EMS Accolades Report" submission form that can be used to "bookmark" the recognition for the next year's award event. The Divisions' Resource Center address is: https://nhfa-ems.com/ems-resources/ems-accolades-report/ . An email will be sent to our staff and we will be in touch with more details.

NH Annual EMS Awards: Nomination Form Adobe Acrobat Reader Symbol

Bound Tree Corporation EMS Unit of the Year Award Adobe Acrobat Reader Symbol
David F. Dow Memorial EMS Provider of the Year Award Adobe Acrobat Reader Symbol
David J. Connor Memorial EMS Appreciation Award - "The Connor Honor" Adobe Acrobat Reader Symbol
EMS Educator of the Year Award Adobe Acrobat Reader Symbol
EMS Lifetime Achievement Award Adobe Acrobat Reader Symbol
Pamela Mitchell/Richard Connolly Memorial EMS Achievement Award Adobe Acrobat Reader Symbol
Lawrence A. Volz EMS Heroism Award Adobe Acrobat Reader Symbol
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Automated External Defibrillators (AED)

Register your AED
AED Vendor Listings
Frequently Asked Questions
HeartSafe Communities Adobe Acrobat Reader Symbol
Public Access Defibrillation in New Hampshire Schools Adobe Acrobat Reader Symbol
Resource for AED Materials

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EMS Best Practices
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Licensing

Criminal History Record Information (CHRI) Authorization Form Adobe Acrobat Reader Symbol
EMS Instructor/Coordinator License Initial & Renewal Application Adobe Acrobat Reader Symbol
EMS Provider License Application Adobe Acrobat Reader Symbol
EMS Provider License -Renewal/Upgrade Applicationrenewal application (online application)
EMS License Waiver Requirements Adobe Acrobat Reader Symbol
EMS Unit Training Officers: Scope of Practice Skills SheetSOP Skill Sheets(for skill verification)
EMS Unit License Application Adobe Acrobat Reader Symbol
EMS Vehicle License Application Adobe Acrobat Reader Symbol
Law Enforcement Provider License Information -Under Review
Ambulance Equipment/Inspection Sheets Adobe Acrobat Reader Symbol
-Wheelchair Van-For-Hire Company Application Adobe Acrobat Reader Symbol
-Wheelchair Van-For-Hire Van Application Adobe Acrobat Reader Symbol
-Wheelchair Van-For-Hire Van Inspection Sheet Adobe Acrobat Reader Symbol
SAMPLE Apprentice Provider Affiliation Forms Adobe Acrobat Reader Symbol
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System Surveys, Assessments and Reviews

American College of Surgeons Trauma System Consultation Findings Letter (2016)Adobe Acrobat Reader Symbol
American College of Surgeons Trauma System Consultation Report - Final (2016)Adobe Acrobat Reader Symbol
Strategic Outreach ReportAdobe Acrobat Reader Symbol(2017)
State of New Hampshire NHTSA Reassessment Report - Executive Summary (2018)Adobe Acrobat Reader Symbol
State of New Hampshire NHTSA Reassessment Report - Final (2018)Adobe Acrobat Reader Symbol

TEMSIS / Emergency Services Data Management

How to unlock a run recordAdobe Acrobat Reader Symbol
How to Change Settings for Locking and Statuses Adobe Acrobat Reader Symbol
TEMSIS Elite Service Leader Setup Guide Adobe Acrobat Reader Symbol
TEMSIS Elite Transition Training Practice Scenarios Adobe Acrobat Reader Symbol
TEMSIS Elite Field ID Scanner Set-Up Instructions Adobe Acrobat Reader Symbol

TEMSIS Transfer Feature Overview Adobe Acrobat Reader Symbol
Elite Browser Caching-Microsoft Adobe Acrobat Reader Symbol
Elite Browser Caching-Safari Adobe Acrobat Reader Symbol

 

NFIRS Meeting #1 – Overview of System:
Direct Link: https://web.microsoftstream.com/video/fecc6dc1-c152-4c57-98ba-4ec68ec0c11b

NFIRS Meeting #2 – Runform Work Group
Direct Link: https://web.microsoftstream.com/video/a049e729-12c3-4266-9085-270df73b595a

(You can copy the link and paste it into your internet browser address bar)

 
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Training, Education and Practical Exams

BLS Practical Examination Evaluator Application - Initial Adobe Acrobat Reader Symbol
BLS Practical Examination Evaluator Application - Renewal Adobe Acrobat Reader Symbol
Clinical/Field Internship Affiliation Form Adobe Acrobat Reader Symbol
Course Completion Roster Adobe Acrobat Reader Symbol
Course Completion Roster Addendum Adobe Acrobat Reader Symbol
Emergency Medical Technician (EMT) Practical Exam SheetsAdobe Acrobat Reader Symbol - Updated 7/2020
EMS Course Request - (online application)
EMS Reciprocity Information - Under Review
Emergency Medical Responder (EMR) Practical Exam Sheets Adobe Acrobat Reader Symbol- Updated 7/2020
I/C Resource: Skills Assessment-Personnel/Equipment Adobe Acrobat Reader Symbol
I/C EMS Request for Examination
Intranasal Naloxone Administration Skill Sheet
EMT Challenge for Medical Professional - Information Sheet Adobe Acrobat Reader Symbol
Memo for Out-of-State Educational Programs Adobe Acrobat Reader Symbol
NHFA General Admissions Application Form Adobe Acrobat Reader Symbol
Practical Exam Candidate Instructions -Under Review
Practical Examination Conduct & Removal - Under Review
Practical Examination Dress Code - Under Review
Request for Examination (BLS Candidate)
Request for Duplicate Certification Adobe Acrobat Reader Symbol
2018 Scope of Practice Skill Sheets Adobe Acrobat Reader Symbol
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Trauma System

State Adult & Pediatric Trauma Center Application & PRQ Adobe Acrobat Reader Symbol- Updated 7/2019
ACS Adult-State Pediatric Trauma Center Application & PRQAdobe Acrobat Reader Symbol
New Hampshire Trauma Center Criteria ChecklistAdobe Acrobat Reader Symbol
Trauma System FAQ's
Current NH Trauma System Plan Adobe Acrobat Reader Symbol- Upated 9/2019
NH Guidelines for the Imaging of the Trauma Patient Adobe Acrobat Reader Symbol
NH Trauma System MapAdobe Acrobat Reader Symbol - Updated 4/29/2022
NH Trauma System Map - PediatricAdobe Acrobat Reader Symbol - Updated 4/29/2022
Welcome to the Trauma Medical Review Committee Adobe Acrobat Reader Symbol
2022 New Hampshire Trauma Registry Data DictionaryAdobe Acrobat Reader Symbol
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Adobe Acrobat Reader Symbol Adobe Acrobat Reader format. You can download a free reader from Adobe.
   
 
New Hampshire Department of Safety | 33 Hazen Drive | Concord, NH 03305
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