RESOURCES

Below you will find may resources in each of the following sections Forms, Policies & Procedures, and Websites & Phone apps. Expand out the section using the + button.

Forms

General

• Call of the Month
• Chain of Custody Tracking
• Commendation Request
• ECRN Ride Time Verification
• EMD Call Monitoring
• EMS Medication / Equipment List 
• Letter of Good Standing Request
• Personnel Information
• Request for Clarification
• Significant Exposure Reporting
• SMOs Region 8 

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Equipment & Medication Lists

• ALS Ambulance Equipment / Medication List
• ALS N/T Equipment / Medication List
• BLS Ambulance Equipment / Medication List
• BLS N/T Equipment / Medication List
• Critical Care Ambulance Equipment / Medication List
• New or Additional Equipment Request
• Controlled Substances Loss
• Non-Narcotic Medication Loss
• Non-Disposable equipment Receipt

IDPH EMS Forms

• EMS Licensure Extension Request
• EMS Independent Renewal
• EMS Authorization to Release Information
• ​EMS Licensure Reinstatement
• EMS Licensure Renewal Brochure
• EMS Military Licensure Request
• EMS Licensure Inactive Request
• EMS Reciprocity Application
• EMS Licensure Fee Waiver Application
• EMS Duplicate Licensure Request
• EMS Fee Schedule
  
  

IDPH EMS Provider and Vehicle Licensing

• EMS Dispatch Agency Certification Application
• EMS Dispatch Agency Recertification Application
• Stretcher Van Application
• EMS Ambulance Staffing Waiver Application
• EMS Ambulance Inspection
• EMS Equipment Waiver
• EMS Non-Transport Inspection Form
• EMS Non-Transport Provider Application
• EMS Non-Transport Application for Existing Transport Providers
• EMS Special Events Request Form
• EMS Transport Provider Application
• EMS System Plan Modification Form
• EMS Critical Care Transport Application Form

Policies and Procedures

General

• A-1 Review and Revision of Policies
• A-2 Definitions
• A-3 Location of Library Resource Materials Forms

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Field Operations

• B-1 Abandoned Infant Newborn
• B-2 Behavioral Emergencies
• B-3 Concealed Carry Weapons
• B-4 Continuity of Care Abandonment
• B-5 Crime Scene Law Enforcement Interaction
• B-6 DNR POLST POA DOA
• B-7 Helicopter Use
• B-8 Invalid Assist
• B-9 Notification of Coroner
• B-10 Patient Destination - Hospital
• B-11 Patient Destination - Mental Health Facility
• B-12 Patient Destination - Urgent Care Immediate Care
• B-13 Physician Nurse CT Tech On Scene
• B-14 School Bus Accident
• B-15 Specialty Teams Transport
• B-16 Transfer of Care
• B-17 Use of Physical / Chemical Restraints

Legal

• C-1 Complaints
• C-2 Duty to Act
• C-3 Informing 911 Caller of Response Times
• C-4 Personnel Immune from Liability
• C-5 Refusal Adult
• C-6 Refusal Minor
• C-7 Reportable Situations
• C-8 Treatment of Minors

Communications

• D-1 ECRN Operations
• D-2 Hospital Communications
• D-3 Pre-Hospital Communication

Equipment and Medications

• E-1 Controlled Substances
• E-2 Equipment Products Containing Latex
• E-3 Equipment Additions
• E-4 Equipment Minimums Restocking
• E-5 Medical Device Malfunction
• E-6 Medication Exchange
• E-7 Medication Storage

Education and Training

• F-1 ECRN Instructor
• F-2 ECRN Training Course
• F-3 EMD Instructor
• F-4 EMD Training Course
• F-5 EMS Clinical Experiences
• F-6 EMS Continuing Education
• F-7 EMS Education Hours Tracking
• F-8 EMS Preceptor
• F-9 EMS System Didactic Programs
• F-10 EMT Instructor
• F-11 EMT Training Course
• F-12 EMT Student Observation
• F-13 Paramedic Instructor
• F-14 Paramedic Training Course
• F-15 PHAPRN Instructor
• F-16 PHAPRN Training Course
• F-17 PHPA Instructor
• F-18 PHRN Training Course
• F-19 PHRN Instructor
• F-20 PHRN Training Course

​Licensing

• G-1 Authorization to Test - EMT
• G-2 Authorization to Test - Paramedic
• G-3 Authorization to Test - PHAPRN
• G-4 Authorization to Test - PHPA
• G-5 Authorization to Test - PHRN
• G-6 EMD Agency Renewal
• G-7 EMS Licensure Inactivation Reactivation
• G-8 Initial Licensure -ECRN
• G-9 Initial Licensure - EMD
• G-10 Initial Licensure - EMT
• G-11 Initial Licensure - Lead Instructor
• G-12 Initial Licensure - Paramedic
• G-13 Initial Licensure - PHAPRN
• G-14 Initial Licensure - PHPA
• G-15 Initial Licensure - PHRN
• G-16 Renewal - ECRN
• G-17 Renewal - EMD
• G-18 Renewal - EMT
• G-19 Renewal - Lead Instructor
• G-20 Renewal - Paramedic
• G-21 Renewal - PHAPRN
• G-22 Renewal - PHPA
• G-23 Renewal - PHRN

System Operations

• H-1 EMS Program Plan
• H-2 EMS Administrative Director
• H-3 EMS Coordinator - System
• H-4 EMS Coordinator - Agency
• H-5 EMS Medical Director
• H-6 EMS Medical Director - Alternate
• H-7 EMS Retention

System Participation

• I-1 EMS Provider Suspensions Removal
• I-2 EMS Provider Suspected Drug Use Diversion Alcohol Use
• I-3 EMS Agency Suspension Removal
• I-4 Moral and Ethical Conduct
• I-5 EMS Provider System Good Standing
• I-6 System Entry

Vehicle Operations

• J-1 Ambulance Design
• J-2 Critical Care Crew in ALS Ambulance
• J-3 Inspection - Ambulance
• J-4 Inspection - Non-Transport
• J-5 Vehicle Minimum Staffing Requirements
• J-6 Vehicle Service Level in-Field Changes
• J-7 Vehicle System Responses

Quality Assurance

• K-1 Case Reviews
• K-2 Quality Assurance (QA) Requirements
• K-3 Request for Clarification

Records

• L-1 Confidentiality of Medical Records
• L-2 EMS Provider Demographics
• L-3 Letter of Good Standing Request
• L-4 Patient Care Report Completion
• L-5 Personnel Changes
• L-6 Retention of EMS Records

Animals

• M-1 Police Dogs
  
• M-2 Service Emotional Support Animal

Injury & Infection

• N-1 Covid Testing
• N-2 EMS Personnel Exposure
• N-3 EMS Personnel Potentially Life-Threatening Injuries Death
• N-4 EMS Vehicle Disinfection
• N-5 Provider Personal Protection Equipment (PPE)
• N-6 Vaccinations of Public Members

Crisis

• O-1 Diversion Bypass
• O-2 System Wide Crisis
• O-3 Vehicle Deployment

Recognition

• P-1 Agency of the Year
• P-2 Call of the Month
• P-3 Call of the Year
• P-4 EMS Unit of the Year
• P-5 Provider of the Year

Region 8

• Z-1 Region 8 EMS Standing Medical Orders Revision and Review
• Z-2 Regional Reciprocity

Websites and Phone AppS

Illinois Department of Public Health (IDPH) Emergency Medical Services (EMS) Licensure 

• EMS Provider Licensing Online Fee Payment (Initial Payment)
• EMS Provider Licensing Online Fee Payment (Renewal)
• EMS Provider Licensure Address Updates
• EMS Vehicle Online Fee Payment

SMO Phone Application

• SMO App Link (iOS)
• SMO App Link (Android)

Illinois Department of Public Health (IDPH) Emergency Medical Services (EMS) Rules and Regulations 

• IDPH EMS Homepage
• Illinois EMS Code (Rules)
• Illinois EMS Act (Law)