Follow the steps to fill out the DOH-4231 form with ease.

1. Click 'Get Form' button to access the DOH-4231 and open it in the online editor.
2. Begin by filling in your EMT number and Social Security number accurately. Ensure that your information matches your official documents.
3. Next, fill out your agency code, last name, first name, middle initial, phone number, address, city, state, and zip code, making sure to use UPPER CASE letters as instructed.
4. Initial and confirm that you have read and agree to follow all requirements for the NYS Continuing Education Recertification Program as outlined in the CME Program Manual.
5. Affirm that all statements on the recertification form are true and correct. Sign and date the form where indicated.
6. If applicable, declare any misdemeanors or felonies in accordance with regulatory requirements. Ensure you understand the implications regarding recertification.
7. The Physician Medical Director must sign and provide their NYS medical license number. Ensure that their details are accurate and complete.
8. Complete the section detailing your refresher training hours, ensuring to specify the required and earned hours for each topic area.
9. Finish by entering your additional continuing education hours, ensuring that all relevant training and competencies are documented.
10. Once all sections are filled out, review the form for completeness. Save your changes, and if available in the editor, you can download, print, or share the form as needed.

Take the next step in your professional journey and complete your recertification online today!