Special Event EMS Plan Fillable Event Form	Read
Medical Director Agreement	Read
EMT Instructor Application	Read
Monthly BLS QI Worksheets Syringe Based EPI Requirements Syringe Based EPI Reporting Form
Monthly ALS QI Worksheets TXA Reporting Form
EMS Vehicle Collision and Personal Injury Report Form Form

PROUD TO SERVE	OTHER AGENCIES	CONTACT US
• Bradford County	• PA Bureau of EMS
• Lackawanna County	• PA Fire & Emergeny Services Institute	169 CenterPoint Blvd.
• Luzerne County	• PA Dept. of State	Jenkins Twp., PA  18640
• Pike County	• PA Fire Commissioner's Office	570.655.6818 / 800.427.1911
• Susquehanna County	• PEHSC	Fax:  570.655.6824
• Wayne CountyCounty	• PA Department of Environmental Protection	Email:  EMSNP@EMSNP.ORG
• Wyoming County	• PEMA
	• FEMA
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