Get Ma Dph/oems 200-59 2023-2025

The MA DPH/OEMS 200-59 form is essential for documenting continuing education programs for emergency medical technicians in Massachusetts. This guide will provide clear, step-by-step instructions on how to accurately fill out the form online.

Follow the steps to complete the MA DPH/OEMS 200-59 form efficiently.

1. Press the ‘Get Form’ button to access the roster and open it in your writing tool.
2. Fill in the program title, program sponsor, and program location. Ensure all information is printed clearly in the provided spaces.
3. Input the OEMS CONED number associated with the training program. This number is crucial for tracking the program's approval status.
4. Enter the program date accurately. This should reflect the date when the training occurs.
5. Indicate whether the program is part of the NCCR and list any NCCR topics covered during the training.
6. Record the program times and total hours of the course. Be sure to cross off unused lines or espace where necessary.
7. Once all data is inputted, the lead instructor must sign the roster, confirming adherence to Massachusetts EMS regulations, and provide course completion documentation to the attendees.
8. Each attending EMT should print and sign their name next to their EMT number, ensuring it is legible. Each attendee must also ensure they receive their completion documentation.
9. Lastly, verify all information before saving your changes. You can download, print, or share the completed form as necessary.

Complete and submit your MA DPH/OEMS 200-59 form online to ensure proper documentation of your training program.