Get the new york state ems instructor update form

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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...
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new york state ems instructor update
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