Get Tx Texas Ems Trauma & Acute Care Defined Surveyor Credential Requirements And Application 2013-2025

This guide provides clear instructions on completing the TX Texas EMS Trauma & Acute Care Defined Surveyor Credential Requirements and Application online. By following the steps outlined below, users can ensure their application is filled out accurately and submitted successfully.

Follow the steps to complete the application online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your name in the designated field. Ensure that all information is accurate and spelled correctly.
3. Input your address in the appropriate section. This should include your street address, city, state, and zip code.
4. Provide your primary and secondary contact numbers. It is essential to include accurate phone numbers for effective communication.
5. Enter your primary email address, which will be used for correspondence regarding your application.
6. Fill out your employment affiliation, including the name of your current employer and your position within the organization.
7. List your office number and primary fax number in the respective fields.
8. Describe your experience in preparing for successful trauma facility verifications/designations, including the designation level if applicable.
9. Provide details about your primary qualifications and leadership involvement that support your candidacy as a site surveyor.
10. Include any additional education or credentials you wish to mention in the appropriate section.
11. Ensure to attach the required documentation with your application. This includes copies of your current credential documentation for TNCC or ATCN or ATLS, proof of completion of an approved site surveyor course, three professional references in trauma care, and your curriculum vitae or resume.
12. Indicate your active membership in relevant professional organizations by checking the appropriate boxes.
13. Complete the signature and date fields to authorize your application.
14. After verifying all provided information for accuracy, submit the complete application packet electronically to the designated email address.

Complete your application online today and contribute to the Texas Trauma System.