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NYS DOH Bureau of Certified EMS Instructor Update Course Completed Location Course Section D. Pre-Hospital Patient Care Experience From Name of EMS Agency Agency Code To Signature of Chief Operations Officer or equivalent Supervisor Print Name of Chief Operations Officer or equivalent Supervisor DOH-3508 Rev. 12/13 p. 1 of 2 Section E. Personal Affirmation I affirm that in accordance with the requirements of 10 NYCRR 800 I have NOT been convicted...
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What is doh 3508 form ems?
The DOH 3508 form EMS is a document used by healthcare providers to report specific information related to emergency medical services, including patient care and treatment.
Who is required to file doh 3508 form ems?
Emergency medical service providers and organizations that operate in accordance with the regulations set by the Department of Health are required to file the DOH 3508 form EMS.
How to fill out doh 3508 form ems?
To fill out the DOH 3508 form EMS, providers must gather patient data, incident details, and treatment information, and then accurately complete each section of the form as per the instructions provided by the Department of Health.
What is the purpose of doh 3508 form ems?
The purpose of the DOH 3508 form EMS is to ensure standardized reporting of emergency medical services, facilitating data collection for quality improvement, research, and compliance with health regulations.
What information must be reported on doh 3508 form ems?
The DOH 3508 form EMS generally requires reporting on patient demographics, nature of the emergency, treatment provided, destination of the patient, and any other relevant clinical information.
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