Education Forms
Course Authorization
CAN Course Authorization Request Distance Learning Form CAN Modification Form Roster Form - for Initial, Final or Amended rosters Samples Initial Roster Final Roster Practical Site Summary - for EMR and EMT courses Sample Site Summary
EMR Training forms
Training and Testing Verification form - includes EMR application Verification of Training at Alternate Site - to take the practical exam with another Training Program National Registry Site Code Instructions - If your EMS agency or EMRA will hold a full EMR course to train National Registry EMR's you will need to get your own Site Code. This link also has instructions for adding Application levels for Training Programs and instructions for adding a Program Director.
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Emergency Systems Oklahoma State Department of Health 123 Robert S Kerr Ave, Suite 1702 Oklahoma City, OK 73102-6406 Office: (405) 426-8480 Fax: (405) 900-7560 or 4059007560@Xmedius.com (using email) Esystems@health.ok.gov