EMS Providers & First Responder Forms 

Forms and Resources Check Certification Status Contact Us Enforcement Actions Links Open Records Rules/Policies Statutes/Laws

EMS Provider Forms:

Initial Check List
Medical Director Form
EMS Vehicle Form
EMS Provider Application
EMS Personnel Form
Renewal Checklist
Mailing Information/Provider Websites
Fixed Wing Air Ambulance Check List
Rotor Wing Air Ambulance Check List
List of EMS Field Offices

EMS First Responder Forms

Medical Director Form
EMS Personnel Form
First Responder Checklist and Application
Mailing Information/Provider Websites

Download all forms listed above in a zip file: 

All forms

For help or questions about EMS Provider forms or processing contact EMS Compliance Staff at 512/834-6700 – Christopher Gideon – Extension 2612 or Christopher Meyer – Extension 2317

For help or questions about EMS First Responder forms or processing contact EMS Compliance Staff at 512/834-6700 – June McGuire – Extension 2329 or Kenneth Himes – Extension 2313

For technical assistance contact your local field office you can find a list of offices at:

List of EMS Field Offices

Last Updated May 11, 2007