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Rhode Island Department of Health Rhode Island Department of Health
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Program Activities
Office of Health Professionals Regulation
3 Capitol Hill - Room 105
Providence, RI 02908
Phone: (401) 222-2401
Fax: (401) 222-3352
Email: Peter Leary, Chief


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Office of Health Professionals Regulation

Division of Emergency Medical Services

LICENSURE Applications and forms

The Rhode Island Division of Emergency Medical Services applications for licensure must be downloaded and printed. The completed form should be mailed to the address noted on the application. Forms will not be accepted via email or fax.

EMT Licensure
EMT_App_2007.12.pdf Application for initial RI EMT license 12/2007
Verification.pdf Interstate verification form  
App_Endo.pdf Application: Endotracheal Intubation  
App_IVNitro.pdf Application: IV Nitroglycerin  
App_IVHeparin.pdf Application: IV Anticoagulants  
08-004_ElectronicLicensing.pdf New License Expiration Dates 5/2008

Also see EMT Examination Information for additional forms and instructions.
Ambulance Service Licensure
EMSVehicleInitialApplication.pdf Vehicle Application  
AmbInspectionManual_2009.pdf Ambulance licensure & inspection manual 1/2009
Coming Soon! Service Application  
RI_EMS_Services_2009.pdf Current directory of RI EMS services 6/2009

 

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