EMS Region II Awards Nomination Form

Nominations for the Annual EMS Region II Awards are due by the first week in April of each year for efforts achieved within the prior 12 months.

Award winners will be recognized at the Central MA EMS Corp Annual Meeting scheduled at 6 pm on the first Tuesday of each May:

Auburn Lodge of Elks

754 Southbridge Street, Auburn, MA

Nominations of Members and Officers of the Board of Directors and Committee Chairs are also elected at the Annual Meeting. If you are interested in serving in a Regional Capacity please email your letter of intent to the Nomination Committee Chair, Vice President Marty Scott.

EMS Provider Forms

• Unprotected Exposure Form
• Mandated Reporter Forms

ALS/BLS Affiliation Agreement Template

ALS/BLS Affiliation Agreement Template may be found on the Quality Assurance page.

CMED Reports & Request Forms

• CMED Incident Report
• Communications Failure Report
• CMED Transmission Request Form

Continuing Education

OEMS Form 200-46: EMT Continuing Education Application Form

EMS Continuing Education Approval Process (continue to apply for approval numbers as usual; they are still required)

Continuing Education Requirements for EMTs & Paramedics: Tracking Record Sheets (keep track of your own  credits, OEMS no longer maintains your continuing education history)

MA EMS Continuing Education Course Roster

AHA Attendance Rosters

Federal CLIA Requirements for Glucose Measuring Devices

Ambulance services (ALS and BLS) are required to apply for a CLIA (Clinical Laboratory Improvement Amendments of 1988) Certificate of Waiver if utilizing a glucose measuring device.

•   CLIA Waiver Information for Ambulance Services
•   How to Obtain a Certificate of Waiver
•   CLIA Certificate of Waiver Application Form