Forms & Protocols
OSF East Central Illinois EMS System Entry
-
Process and Contact Information
OSF East Central Illinois EMS
-
System Forms
-
EMS Risk Screen (PDF - 426.1 KB)
EMR Medication Order Form (PDF - 202.2 KB)
BLS Medication Order Form (PDF - 54.7 KB)
ILS Non-Transport Medication Order Form (PDF - 299.5 KB)
-
Controlled Substance Forms
-
ALS Controlled Substance Monthly Inventory Log (PDF - 508.6 KB)
ILS Controlled Substance Monthly Inventory Log (PDF - 507.1 KB)
Controlled Substance Daily Security Log (PDF - 577.5 KB)
Controlled Substance Administration Log (PDF - 569.0 KB)
Controlled Substance Risk Screen (PDF - 310.8 KB)
Controlled Substance Risk Screen - Fillable PDF (PDF - 320.2 KB)
Policies
-
East Central Illinois EMS System Policies
Licensure
-
Provider Licensure
-
Fee Waiver Request (PDF - 99.3 KB)
License Extension Request (PDF - 812.5 KB)
Inactive Request (PDF - 274.0 KB)
NREMT EMT Handbook (PDF - 281.3 KB)
-
Vehicle Licensure
-
All Levels System Inspection/Minimum Equipment List (PDF - 737.8 KB)
IDPH Aircraft Inspection (PDF - 155.5 KB)
IDPH Ambulance Inspection (PDF - 845.7 KB)
IDPH Non-Transport Inspection (PDF - 181.2 KB)
ECIEMS EMR Minimum Equipment List
ECIEMS BLS Minimum Equipment List
ECIEMS ILS Non Transport Minimum Equipment List
Protocols
-
East Central Illinois EMS Protocols
-
Download our free app!
-
Android
Apple