New York State Department of Health Forms

This document is an application/update form used by an agency in New York to provide information.

This form is used for medical directors in New York to verify their credentials and qualifications. It ensures that only qualified individuals are serving as medical directors in healthcare facilities.

This form is used for funding EMS agencies in New York.

This Form is used for notifying the Department of Health about the intention to provide ambulance transfusion services in New York.

This form is used for transferring blood transfusion orders in New York.

This form is used for applying to become a controlled substance agent for an ALS agency in New York.

This Form is used for inventory management and tracking of stock in the state of New York.

This type of document is a Rotary Wing Ams Equipment Waiver for operations in New York under Part 800.27.

This form is used for emergency medical services agencies in New York to report controlled substances.

This document is a form used for inventory management of controlled substances in New York. It helps organizations keep track of their substock inventory.

This form is used for applying for initial registration as a limited service laboratory in New York.

This Form is used for obtaining a certified class list for ancillary EMS training courses in New York. It helps track and document the attendance of students in these courses.

This form is used for conducting an audit report on didactic presentations in New York.

This Form is used for reporting the completion of a clinical internship in New York.

This form is used for reporting the completion of a cic internship in New York.

This form is used for appointing a Course Assistant Medical Director in New York.

This form is used for tracking the progress and activities of certified lab instructor interns in New York. It helps to monitor their internship and ensures proper completion of required tasks.

This form is used for submitting a lab instructor audit report in New York.

This Form is used for summarizing the results of the Final Practical Skills Examination in New York.

This Form is used for identifying students who are ineligible to take the State Certifying Examination in New York.

This form is used for the medical director of an advanced level course in New York to certify the completion of the course.

This type of document is used for renewing CME (Continuing Medical Education) certifications in the state of New York.

This form is used for verifying membership in a New York State EMS Agency. It is required to ensure that individuals meet the eligibility criteria for membership in the agency.

This form is used for requesting an extension of certification for military personnel in New York.

This form is used for requesting a duplicate card in the state of New York.

This form is used for registering for the New York State written certification exams class on-site scoring request.

This form is used for instructors in New York to apply for recertification. It allows them to renew their certification and continue teaching.

This form is used for verifying Emergency Medical Services (EMS) certification in the state of New York.

This Form is used for applying for New York State EMT Reciprocity in New York.

This form is used for EMTs seeking reciprocity in the state of New York.

This form is used for reporting public events in New York.

This Form is used for agencies to register with the New York Department of Health.

This form is used for notifying the Department of Health in New York about the intention to provide Public Access Defibrillation.

This form is used for applying for a permit to host a public gathering in New York.

This document provides options for receiving information if you are blind or visually impaired in New York in Haitian Creole.

This form is used for verifying the usage of controlled substances in New York. It is important for monitoring and ensuring compliance with regulations.

This form is used as a supplement to the Access NY Health Care Application, specifically for Chinese-speaking individuals in New York.