Forms & Documents

E3 Entry into system rev 7 18 | POLICY MANUAL
Update to E3 policy

E5 Ethics 10 | POLICY MANUAL

E6 Episodic Mass Gatherings 01 | POLICY MANUAL

E6 NAEMSP Mass Gathering Manual 2018 ed | POLICY MANUAL
Guidlines for mass gatherings

E6 Special Events Request Application 2018 ed | POLICY MANUAL
Reuest form for Mass gatherings

E6a Special Event BLS Log 2018 ed | POLICY MANUAL
Bls Log for mass gatherings

E6b Special Event ALS PCR 2018 ed | POLICY MANUAL
PCR for mass gatherings

E7 ECRN Recognition rev 7 16 18 | POLICY MANUAL
Update to E7 policy

EMS Instructor Qualifications | EDUCATION STANDARDS TRANSITION 2013 EDITION

EMSRN Didactic Form 17 18 | ECRN
Record of Continuing Education

EMT-B to EMT Transition Module I and EMT-B to EMT Transition Module I | CE MATERIAL

EMT-B to EMT Transition Module I and EMT-B to EMT Transition Module II | CE MATERIAL

Explanation of Data change for TOR | COMPUTER AIDED REPORTING SYSTEM
New data choice for disposition of termination of resuscitation

F1 First Responder (EMR) 10 | POLICY MANUAL

Fabsits EMS Task Force Testimony12-11 | ILLINOIS EMS EDUCATION COMMITTEE

Final Education Agenda | ILLINOIS EMS EDUCATION COMMITTEE

Fundementals 2016 for System Entry | SYSTEM ENTRY
Fundimentals Blueprint

G1 Greviance Step 1RFC Complaints1 40 | POLICY MANUAL

G1 Investigation Form in pdf Format rev 4 18 | POLICY MANUAL
Updated G1 Form

G1 Investigation Form in Word Format rev 4 18 | POLICY MANUAL
Updated G1 Form

G2 System Review Board 2 1 18 Rev | POLICY MANUAL
Updated policy 2 1 18

G3 State Disciplinary Review Board 10 | POLICY MANUAL

I-2 Infection Control Guidance for Healthcare Professionals | POLICY MANUAL

I-3 Invalid Assist | POLICY MANUAL
Invalid Assist Policy 2012 version

I1 Inactive Status application | POLICY MANUAL

I1 Inactive Status Policy rev 12 16 | POLICY MANUAL

I1 Reactivation Application | POLICY MANUAL

I2 410 ILCS 305 Aids Confidentiality Act | POLICY MANUAL

I2 Appendix Final 1 16 Rev | POLICY MANUAL

I2 Inf Ctrl Policy 1 16 Rev | POLICY MANUAL

I2 Inf Ctrl Policy Marked with changes 1 16 Rev | POLICY MANUAL

I2 Infection Control Guidance for EMS Providers 2013 edition | POLICY MANUAL
Infection Control Guidance

I2 Infection Control Nurse handout & Factsheet 2013 edition | POLICY MANUAL

I2 Infectious Disease Playbook 2017 | POLICY MANUAL
Infection Control Document

I2 Request For Exposure Determination 1 16 Rev | POLICY MANUAL

I2 Request for Source Patient Testing Revised 3 13 | POLICY MANUAL
Updated request for source patient testing revised 3 2013

I2a Dico list 7 5 18 rev | POLICY MANUAL
UPdated DICO List

I3 Invalid Assists 2012 | POLICY MANUAL

I4 Imparied Practice 05 | POLICY MANUAL

IAFC Ryan White Release | POLICY MANUAL

IDPH Ambulance Inspection Form 2012 | DRUG AND SUPPLY LIST
Revised August 2012 IDPH Ambulance Inspection Form

IDPH Cover Letter approving MIH programs | MOBILE INTEGRATED HEALTHCARE
MIH program approval letter from IDPH

IDPH Q A DNR 2013 Edition | SYSTEM MEMOS 2013
Q & A About the new DNR Form

ILL EMS Education Committee Report 7 14 | ILLINOIS EMS EDUCATION COMMITTEE
Report of the State EMS Education Committee

Illinois Child Passenger Protection Act July 2003 | POLICY MANUAL

Infection Control Annual Update 2011 | OUTSIDE COURSES-CLASSES

Infection Control Course 2011 | OUTSIDE COURSES-CLASSES

L1 Patient in Law Enforcement Custody 10 1 ver | POLICY MANUAL

L2 Safe Ambulance Operation 04 Reformatted | POLICY MANUAL

M-9 Med-Engine Drug & Supply List April 2012 | POLICY MANUAL
2012 version of D & S for Med-engines

M2 Mandatory Reviews 05 | POLICY MANUAL

M4 Medical Examiner Coroner Cases | POLICY MANUAL

M5 ALS BLS Manpower 06 | POLICY MANUAL

M6 MICP ECRN Backup rev 12 16 | POLICY MANUAL

M8 Medical Device Failure | POLICY MANUAL
Updated M8 policy listing new EMS Medical Director

M8 Medical Device Failure FDA Report Form 3500 | POLICY MANUAL

M9 MedEngine | DRUG AND SUPPLY LIST | POLICY MANUAL
Includes the Drug and Supply list

Mattera CV | MISSION, VISION AND VALUES

Mattera CV 12 2018 ver | DIRECTORY
Updated CV for Mattera

Mattera CV 2013 revised 10 2013 | ORGANIZATIONAL CHART
Updated information

Mattera EMS Task Force Testimony 12-11 | ILLINOIS EMS EDUCATION COMMITTEE

Medical 2016 for System Entry | SYSTEM ENTRY
Medical Blueprint

MIH Booklet 3 3 15 edition | MOBILE INTEGRATED HEALTHCARE
Booklet that describes Mobile Integrated Healthcare released in March 2015

NASEMSO - Where can I Find It | EDUCATION STANDARDS TRANSITION 2013 EDITION

NASEMSO FAQs | EDUCATION STANDARDS TRANSITION 2013 EDITION

NEMSIS 3 Tables Released on 12 12 13 | COMPUTER AIDED REPORTING SYSTEM
The data elements Illinois requires under NEMSIS 3

NFPA1581 | POLICY MANUAL

NREMT Transition Policy | EDUCATION STANDARDS TRANSITION 2013 EDITION

O1 Override Policy & Form 10 | POLICY MANUAL

OSHA Rapid Testing Requirement | POLICY MANUAL

P1 Preceptor Agreement ver 2017 | POLICY MANUAL
Agreement form for P1 policy

P1 Preceptor Application ver 2017 | POLICY MANUAL

P1 Preceptor Policy 2015 Edition | POLICY MANUAL
Updated preceptor policy

P2 Physician on Scene 05 | POLICY MANUAL

P3 Police Crime Scene Response 05 | POLICY MANUAL

P4 PHRN 10 | POLICY MANUAL

P5 AMB INSP Renewal Notice | POLICY MANUAL

P5 Ambulance Inspection Criteria 4-1-10 | POLICY MANUAL

P5 Initial Ambulance Inspection (Triple K) Template 10 | POLICY MANUAL

P5 Non-transport provider application form | POLICY MANUAL

P5 Plan 05 | POLICY MANUAL

P5 Transport Provider Application IDPH | POLICY MANUAL

P5_IDPH_Ambulance_Inspection_Form_8_12.pdf | POLICY MANUAL
IDPH inspection form for ambulances

P6 Plan Amendment 05 | POLICY MANUAL

P6 SysMod Form | POLICY MANUAL

P7 Peer Educator I & II 2010 | PEER EDUCATOR | POLICY MANUAL

Parkland College Map | ILLINOIS EMS EDUCATION COMMITTEE

Pillars of Excellence 2018 update | MISSION, VISION AND VALUES
Revised Pillars of Excellence for Mission Statement

Policy Manual Table of Contents 7 30 18 | POLICY MANUAL
Update Table of Contents

Policy Self Assessment | SYSTEM ENTRY
pdf of the policy self assessment

Procedure for Entering an Electronic Refusal of Service | COMPUTER AIDED REPORTING SYSTEM

Procedure Lab Manual (August 2014 Revision) | PROCEDURE SKILL SHEETS
Updated Skills Sheets

R-1 2013 EMT Renewal Information | POLICY MANUAL
Instructions for renewing EMT license

R-1 2013 PM Renewal Information | POLICY MANUAL
Instructions for PM license renewal

R1 2013 ECRN Renewal instructions | POLICY MANUAL
ECRN renewal instructions

R1 2013 EMT Renewal instructions | POLICY MANUAL
EMT renewal instructions

R1 2013 PM Renewal instructions | POLICY MANUAL
renewal instructions for PM license

R1 EMS License Fee Schedule 2012 | POLICY MANUAL

R1 EMS Renewal Form (Child Support Statement) | POLICY MANUAL

R1 Extension Form | POLICY MANUAL