Effective July 1, 2016, ambulance services licensed at the BLS level will be required to have a written contract (called an Affiliation Agreement) with a hospital licensed to provide medical control.
The ALS/BLS Affiliation Agreement template includes the minimum regulatory elements the Massachusetts Department of Public Health requires for affiliation agreements between hospitals and ambulance services for medical control pursuant to 105 CMR 130.1501-1504 (Hospital Licensure regulations regarding medical control) and 105 CMR 170.300 (EMS System regulations). It also includes an attachment specifying special ALS/BLS skills & medications which require medical director approval.
As with any contract, all parties should seek the advice of their legal counsel prior to signing.