Get Ems Course Notification Form - Dshs Texas

This guide provides comprehensive instructions on completing the EMS Course Notification Form for the Texas Department of State Health Services. By following the steps outlined, users will be able to successfully fill out and submit the form online.

Follow the steps to fill out the EMS Course Notification Form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Start by providing the name of the legal entity and the education program number in the appropriate fields. Ensure that this information is accurate as it identifies your institution.
3. Fill in the entity assumed or operating name, along with contact phone number and email. These details facilitate communication with the Texas Department of State Health Services.
4. In the course information section, specify the course name and select the type of course you are offering. Make sure to select the correct type such as ECA, EMT, or AEMT.
5. Indicate the course start and end dates. Also, fill in the meeting days and times. Ensure that all information is precise to avoid delays in the approval process.
6. Complete the alternative scheduling section if there are specific scheduling needs not listed. This helps clarify your course structure.
7. Provide information regarding the maximum tuition, number of students, and clinical/field internship sites. Accurate details in these fields are critical for funding and resource allocation.
8. In the course location section, provide the physical name and address of the course. This is necessary for record-keeping and logistical purposes.
9. Complete the coordinator and principal instructor mailing addresses along with their contact information. This ensures the DSHS has the correct contacts for further correspondence.
10. The program director must sign and date the form, affirming that all submitted information is accurate. This signature is crucial for validating your submission.
11. Once the form is fully completed and signed, users can save their changes, download a copy, print the form, or share it as necessary.

Begin filling out the EMS Course Notification Form online today to ensure your course is approved in a timely manner.