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EMS Agency Home
Bulletins
Calendar
Committees
Contact Us
Education & Training
EMS Partners
EMS Programs
(AED-CE-NARCOTICS)
EMS System
(STEMI - Trauma)
EMT Certification
Fees
Forms & Library
Frequently Asked Questions
Links
MICN Authorization
Paramedic Accreditation
Policies & Procedures
EMS Office location
Webmaster
| Phone ~ 805.788.2511 2180 Johnson Ave., 2nd Floor San Luis Obispo, CA 93401 Hours: Monday - Friday ~ 8 - 5 |
| © SLO County EMS Agency 2011 to 2013 Last updated 6/03/2013 |
AED - Public Safety
AED Public Safety Annual Update
AED Public Safety Annual Data Report
AED Public Safety Instructor Application
AED Public Safety Provider Application
AED Public Safety Skills Check
AED Public Safety Use - Patient Report
AED Public Safety Annual Update
AED Public Safety Annual Data Report
AED Public Safety Instructor Application
AED Public Safety Provider Application
AED Public Safety Skills Check
AED Public Safety Use - Patient Report
CE Provider
CE Provider Application
Sample CE Course Completion Certificate
Sample CE Course Evaluation
Sample CE Course Roster
CE Provider Application
Sample CE Course Completion Certificate
Sample CE Course Evaluation
Sample CE Course Roster
Controlled Substance Forms
Controlled Substance Use Quarterly Report
DEA Power of Attorney
Controlled Substance Use Quarterly Report
DEA Power of Attorney
EMS Personnel Exposure Forms
Contagious Disease Exposure Report
EMS Personnel Exposed To Blood and/or Body Fluids - Hospital Emergency Room/LEMC
Contagious Disease Exposure Report
EMS Personnel Exposed To Blood and/or Body Fluids - Hospital Emergency Room/LEMC
EMT FORMS
EMT Certification Application - Form must be
complete to be accepted
DMV Driving Record Authorization
EMT Skills Competency Verification If an
unqualified person signs off your skills, you
will be required to re-do them. Skills sign off
instructions
Live Scan Fill in blue boxes as indicated
EMT Certification Application - Form must be
complete to be accepted
DMV Driving Record Authorization
EMT Skills Competency Verification If an
unqualified person signs off your skills, you
will be required to re-do them. Skills sign off
instructions
Live Scan Fill in blue boxes as indicated
INCIDENT REPORT
Opportunity for Improvement/Incident Report
Opportunity for Improvement/Incident Report
MICN FORMS
MICN Authorization Application - Form must be complete to be accepted
MICN Base Hospital Orientation Checklist
MICN Base Hospital Proctoring
MICN Field Orientation Checklist
MICN Ride-along option for base meeting requirement
MICN Authorization Application - Form must be complete to be accepted
MICN Base Hospital Orientation Checklist
MICN Base Hospital Proctoring
MICN Field Orientation Checklist
MICN Ride-along option for base meeting requirement
Other MISC. Information
Common EMS Abbreviations & Acronyms
Common Abbreviations used on Patient Care Reports
Common EMS Abbreviations & Acronyms
Common Abbreviations used on Patient Care Reports
Paramedic Forms
Accreditation Application - form must be complete to be accepted
Airway Form -Completion of a minimum of two (2) intubations every six months (8 during the
two year accreditation period).
Communications Failure Report
Student Field Intern Packet All student intern applicants must be approved by the EMS Agency
before starting field internship. Application must be complete and accompanied by all required
paperwork.
Paramedic Field Evaluation Packet All Paramedics new to San Luis Obispo County must be
employed by a local ALS provider and field evaluation must be completed before accreditation
is granted.
POLST Form
POLST Information Website
Accreditation Application - form must be complete to be accepted
Airway Form -Completion of a minimum of two (2) intubations every six months (8 during the
two year accreditation period).
Communications Failure Report
Student Field Intern Packet All student intern applicants must be approved by the EMS Agency
before starting field internship. Application must be complete and accompanied by all required
paperwork.
Paramedic Field Evaluation Packet All Paramedics new to San Luis Obispo County must be
employed by a local ALS provider and field evaluation must be completed before accreditation
is granted.
POLST Form
POLST Information Website