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The Florida Department of Health works to protect, promote, and improve the health of all people in Florida through integrated state, county, and community efforts.

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EMS Forms and Documents

Emergency Medical Services Section

  • Education
  • EMS Service Provider Licensing
  • EMS for Children
  • EMS Inspections
  • Miscellaneous Forms and Documents

Continuing Education Application-DH Form 1698C (Editable Version)

Application for Approval of an EMS Training Program-DH Form 1698, December 2008 (Editable Version)

CPR/ACLS Equivalent Application-DH Form 1938, February 2002 (Editable Version)

Ground Ambulance Service Provider Licensure Application-DH Form 631

Air Ambulance Service Provider Licensure Application-DH Form 1575

Application for Vehicle Permit(s)-DH Form 1510

Application for Air Ambulance Permit-DH Form 1576, April 2009

Student Injury Report Form

Interfacility Transfer Guidelines Toolkit and Form Template

Inspection Corrective Action Form

Inspection Narrative Form

Air Ambulance Inspection Report Form

Neonatal Interfacility Vehicle Inspection Form

Equipment Test Results

ALS Vehicle Inspection Form

BLS Vehicle Inspection Form

Service Records and Facilities Inspection Form

Personnel Records

Public Records Exemption Request

Stroke Assessment Tool

EMS Course Completion Roster

AHCA Stroke Center List

Comprehensive Stroke Center with 45-Minute Drive Time Analysis

Certification of Training-DH Form 1256, December 2008