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How to fill out the Nys Paramedic Recertification online
The New York State Paramedic Recertification form is essential for maintaining certification and ensuring compliance with state health regulations. This guide will provide step-by-step instructions on how to accurately fill out the recertification form online.
Follow the steps to complete your recertification form effectively.
- Press the ‘Get Form’ button to obtain the recertification form and open it in your preferred editing program.
- Begin by entering your personal information. Fill in your print name, EMT number, agency name, and agency code accurately. Ensure that your entries are clear, and use upper case letters as instructed.
- Proceed to fill in your social security number in the specified format. Then, enter your last name, middle initial, first name, address, city, state, and zip code. Double-check for accuracy.
- Review the affirmation statement regarding convictions carefully. If applicable, check the box and provide any necessary details. Your signature and the date are required here.
- For CPR certification, the instructor must provide their printed name, signature, and date. Remember that a copy of the CPR certification card must accompany your application if the instructor does not sign.
- Complete the ACLS certification section by noting the issue and expiration dates. Ensure that a copy of the current ACLS card (front and back) is included.
- Fill in the required training hours, including a total of 48 hours for EMT-paramedic refresher training, along with additional 24 hours of continuing education that includes mandatory training in geriatrics and WMD topics.
- Provide details for skill competency verification, ensuring that your physician medical director signs and dates the section. This verifies proficiency in essential skills.
- Finally, affirm that all information provided on the recertification form is accurate. Sign and date the form, and also ensure that the sponsoring agency contact or coordinator's signature is obtained.
- After completing the form, save your changes, and download a copy for your records. Ensure that the completed application is mailed and postmarked no less than 45 days prior to your current expiration date.
Take action today and complete your Nys Paramedic Recertification form online.
The easiest way to recertify as an EMT involves taking an online course that fulfills the state’s continuing education requirements. Many programs offer convenience and flexibility, allowing you to study at your own pace. To simplify the paperwork and streamline the recertification process, consider using US Legal Forms to access all necessary documents and instructions.
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