Forms and Resources (formerly File Library)
Privacy
Notification
IMPORTANT
Please Read the Following
Some files are listed in a self-extracting zip
format <filename.exe>. These are compressed files that must be unzipped
(uncompressed). The unzipped file is the one you will use. Select the
file you wish to download by placing your pointer over the file name and
double-click with your left mouse button. Save the file to a directory
that you select. Open Windows File Manager or Windows Explorer. Go to
the directory in which you placed the file. Find the file name that you
saved. You must expand the contents of this file. Place your pointer over
the file name and double-click with your left mouse button. This will
open the file. Press the F5 function key on your keyboard. This will "refresh" your file listing. Your new file will now be listed. Your new file is
ready for use!
Once the files have been uncompressed, these
document files will be in one of the following formats.
- .pdf (personal document file) which is viewable
with the Adobe Acrobat Reader
- .dbf (database) which will import into most
database programs
- .txt (delimited text) which will import into
most spread sheet programs
- .wpd (WordPerfect document) which is viewable
with Wordperfect 6.1 or later or Word 97 or later
You will need an Adobe Acrobat Reader to use
the .pdf formatted files. In the future, you will see us convert most
of our document files to the Acrobat format. We are doing this so that
pc and Mac systems have access to the files. If you haven't already installed
the reader to your computer, you can push the "Get Acrobat Reader" button below to go to the Adobe download site. Once at their site follow
the directions for your specific type of computer. Files that are formatted
as a .pdf file will be indicated by this symbol
.
DSHS DOCUMENTS
Texas Department
of State Health Services Regulatory Philosophy
The purpose of this philosophical statement of the Texas Department of
State Health Services is to give guidance to the regulatory programs within
the department on the ideal manner of conducting state business.
EMS
CERTIFICATION/LICENSURE FORMS
- Initial certification/licensure application for EMS personnel ECA, EMT-basic, EMT-I, EMT-P or LP applicant (revised 2/07) Read procedure
- Recertification/relicensure application for EMS personnel ECA, EMT-basic, EMT-I, EMT-P or LP applicant (revised 2/07) Read procedure
- Skills Proficiency Form for Late Renewal (52KB)
- Inactive certification/licensure application (revised 2/07) Read procedure
- Out-of-state reciprocity application (revised 10/07) Read procedure
- Initial EMS coordinator, instructor and information operator instructor certification application Read procedure
- Renewal EMS coordinator, instructor and information operator instructor certification application Read procedure
- Address/name change form
- Wallet card replacement form
- Inactive EMS certification/licensure
application
- Volunteer-to-Paid Status Change
No longer exclusively a volunteer, you must pay cert
fee (revised 3/05)
- Rule Exemption Request form
Request an exemption from EMS rules (3/05)
- ECA High School/GED Exemption
Request
ECA candidates who meet volunteer criteria (revised 3/05)
- Downgrade Statement form
Apply for lower level of certification (revised 3/05)
- Retest Application (revised 3/05)
- Disability Accommodation Request Coordinators/instructors only. If you are taking the National
Registry (NR) exam, you must make an accommodation request to the NR
office: www.nremt.org
EMS
PROVIDER COMPLIANCE GUIDELINES
You must contact your
DSHS regional office before
applying for a provider license.
To find the nearest regional
office, click here.
EMS EDUCATION MATERIALS
HELPFUL
EMS MATERIALS
EMS and Trauma Systems E-mail List Servers
LOCAL PROJECTS GRANTS
EMS PATCH INFORMATION
Patches with the Texas Department
of Health name may still be worn.
Patches may be reproduced but may
not be altered in any way.
Patch Vendors
DSHS Patch Specifications
for ECA, EMT, EMT-I, EMT-P
For larger image of each patch, click below.
Licensed Paramedic
Patch Specifications
Letter to Patch Vendors (06/29/2004)
Licensed Paramedic Patch
Emergency Medical Technician-Paramedic
Patch
Emergency Medical Technician-Intermediate
Patch
Emergency Medical Technician-Basic Patch
Emergency Care Attendant Patch
DSHS non-sponsored patches
EMS Medical Director's Patch
REGIONAL ADVISORY COUNCIL DEVELOPMENT
Emergency Medical Services and Trauma Care System
Account and Emergency Medical Services, Trauma Facilities, and Trauma
Care System Fund & Designated Trauma Facility and Emergency Medical
Services Account Documents
- EMS/RAC Expenditure Report Form (PDF) (13KB) - (Word) (24KB)
- EMS/County Expenditure Report Form (PDF) (16KB) - (Doc) (37KB)
BASIC (LEVEL IV) TRAUMA FACILITY DESIGNATION
(all effective 9/1/07)
FORMS One Page Application for
Level IV Designation (This does
not fulfill trauma designation requirements)
Complete Application for Level IV Designation
(Word97/2000)
Process for Level IV
Trauma Facility Designation Application
Essential Criteria Defined
for Level IV Trauma Facility Designation
Criteria Checklist for Level IV Trauma Facility
Designation
Audit Filters for Level
IV Trauma Facility Designation
Standards of Care for
Level IV Trauma Facility Designation
RESOURCES
All Level IV Surveyors
Requirements
for Trauma Facility Designation Surveyors
Procedure
for Utilizing Non-Department Site Surveyors & Process Following Survey
Initial/Re-designation
Level IV Agenda Format
Trauma Designation
Upgrade
ADVANCED (LEVEL III) TRAUMA FACILITY
DESIGNATION
(all effective 9/1/07)
FORMS
One Page Application for
Level III Designation (This does
not fulfill trauma designation requirements)
Complete Application
for Level III Designation (Word 97/2000)
Process for Level
III Trauma Facility Designation Application
Essential Criteria
Defined for Level III Trauma Facility Designation
Criteria Checklist for
Level III Trauma Facility Designation
Audit Filters for Level
III Trauma Facility Designation
Standards of Care
for Level III Trauma Facility Designation
RESOURCE DOCUMENTS
All Level III Surveyors
Requirements
for Trauma Facility Designation Surveyors
Procedure
for Utilizing Non-Department Site Surveyors & Process Following Survey
Initial/Re-designation
Level III Agenda Format
Trauma Designation
Upgrade
COMPREHENSIVE (LEVEL I) & MAJOR
(LEVEL II) TRAUMA FACILITY DESIGNATION
To the Top
EMS
OPEN RECORDS
These are self-extracting zip files. Select either the database version or the delimited text version (spreadsheet).
TRAUMA CENTER DESIGNATIONS
Updated April 10, 2007
EMS FIRST RESPONDER ORGANIZATIONS
Updated September 6, 2007
EMS PROVIDERS AGENCIES
Updated September 6, 2007
EMS EDUCATION PROGRAMS
Updated September 6, 2007
EMS CE Programs
Updated September 6, 2007
To the
Top
Triage
PowerPoint Presentation (8,409 KB)
Please be aware that this file is a very large Powepoint Presentation
file and might take several minutes to an hour to complete downloading.
Miscellaneous
For more information
contact your regional office.
Go to the regional map
Last Updated October 3, 2007
|