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Seven Mountains EMS Council

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Seven Mountains EMS Council

Forms

Treatment Related Forms:

  •  PA Transfer of Care Form
  •  PA State Refusal Form

Agency Related Forms:

  • EMS Agency Medical Director Agreement
  • EMS Vehicle Collision Form
  • Temporary Ambulance Usage Form & Application
  • Direct Pay Form – Act 84

Sample Continuing Education Forms:

  • Con-Ed Sign In Sheet
  • Con-Ed Attendance Certificates
  • Con-Ed Evaluation

AHA Training Center Forms

  • Heartsaver Roster
  • BLS Healthcare Provider Roster
  • BCLS Course Registration Form

Addresses
523 Dell Street
Bellefonte, PA 16823

713 Bridge Street
Suite 18
Selinsgrove, PA 17870

Phone Numbers
(814) 355-1474
(570) 473-7834

Recent Posts

  • Upcoming Practical Exam Evaluator Course
  • Prehospital Trauma Life Support (PHTLS)
  • Advanced Medical Life Support (AMLS)

Upcoming Events

  1. Spring Conference

    March 15 - March 17

View All Events

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