AGREEMENTS

Hospitals
Base Hospital Medical Control Agreement
EMT-II/P Receiving Hospital Agreement
Satellite Hospital Medical Control Agreement
EDAP Standards

Personnel
Prehospital Care Medical Director Agreement
Prehospital Care Nurse Coordinator Agreement

Programs
Quality Assurance Committee Participation
Quality Assurance Committee Participation – Employees/Contractors

Providers
AED Provider Agency Memorandum of Understanding
First Responder Provider Agency Memorandum of Understanding
Helicopter Service Provider Agency Memorandum of Understanding
Limited Advanced Life Support and/or Advanced Life Support Agreement
ETAD-AED Reporting Form

APPLICATIONS

EMT-I
(Re)Certification Application

EMT-II
(Re)Certification Application

EMT-P
Paramedic Accreditation
Paramedic REaccreditation
Paramedic Reaccreditation with LAPSE of less than two years

ETAD
(Re)Accreditation Application

MICN
(Re)Authorization Application
MICN Field Observation Verification
MICN New Personnel Orientation Documentation
Training Program Application

FORMS

Evaluation
EMT-I Skills Check Off Form
Field Care Audit Evaluation
MICN Tape Audit
Site Evaluation
Thrombolytic Therapy Pre-Alert Checklist

Problems
Humboldt County Hospital Diversion Log
North Coast EMS Agency CQI
PCR Notification Form
Radio Delay/Radio Failure Report