Forms & Protocols

Process and Contact Information

System Entry Application (PDF)

System Forms

EMS Risk Screen (PDF)

EMR Medication Order Form (PDF)

BLS Medication Order Form (PDF)

ILS Non-Transport Medication Order Form (PDF)

ALS Non-Transport Medication Request Form (PDF)

ALS Transport Medication Order Form (PDF)

Controlled Substance Forms

ALS Controlled Substance Monthly Inventory Log (PDF)

ILS Controlled Substance Monthly Inventory Log (PDF)

Controlled Substance Daily Security Log (PDF)

Controlled Substance Administration Log (PDF)

Controlled Substance Risk Screen (PDF)

Controlled Substance Risk Screen - Fillable PDF (PDF)

East Central Illinois EMS System Policies

East Central Illinois EMS System Policies (PDF)

Provider Licensure

Fee Waiver Request (PDF)

License Extension Request (PDF)

Inactive Request (PDF)

NREMT EMT Handbook (PDF)

NREMT Paramedic Handbook (PDF)

IDPH EMS CE Recommendations (PDF)

Vehicle Licensure

All Levels System Inspection/Minimum Equipment List (PDF)

IDPH Aircraft Inspection (PDF)

IDPH Ambulance Inspection (PDF)

IDPH Non-Transport Inspection (PDF)

ECIEMS EMR Minimum Equipment List (PDF)

ECIEMS BLS Minimum Equipment List (PDF)

ECIEMS ILS Non Transport Minimum Equipment List (PDF)

ECIEMS ALS Non Transport Minimum Equipment List (PDF)

ECIEMS ALS Transport Minimum Equipment List (PDF)

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