We encourage anonymous reporting from any individual who encounters or recognizes a situation in which a safety event occurred while a patient was being cared for by the EMS (emergency medical services) system.
Ambulance Service Licensure
Emergency Medical Services Office (EMSO) License Renewal Application – Click Here.
The PA Department of Health, Emergency Medical Services Office, licenses air and ground ambulances and certifies quick response services. The following lists identify agencies in the EMMCO West region that meet the minimum standards for licensure or certification.
- Listing of Licensed Ambulance Services
- Listing of Licensed Air Ambulance Services
- Listing of Recognized QRS Services
- Mailing Labels for Download
- Mailing List of Licensed or Recognized Services
EMS Vehicle Collision and/or Personnel Injury Report Form
The EMS regulations, §1005.10(e)(i) requires ambulance services to report, in a form or manner prescribed by the Department, to the appropriate regional EMS council an ambulance vehicle accident that is reportable under 75 Pa.C.S., and an accident or injury to an individual that occurs in the line of duty of the ambulance service that results in a fatality, or medical treatment at a medical treatment facility. This revised form has been adopted by the Pennsylvania Department of Health, EMS Office to meet the requirements of the regulations.
Instructions for Completion of the EMS Vehicle Collision And/or Personnel Injury Report Form
EMS Vehicle Collision and/or Personal Injury Report
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EMS agencies needing to add practitioners to their EMSVO rosters need to do the following:
1) Provide documented proof of completion of aPennsylvania Department of Health approved Emergency Vehicle Operator Course(EVOC)
a. Copy of original course completion certificate OR
b. Recorded on Provider Continuing Education Record in Pennsylvania Emergency Medical Services Registry System (EMSRS) OR
c. EMS Education Institute Course Roster OR
d. Approved EMS Agency Licensing Application Personnel Roster
2) Complete the Student Application located on the EMS Portal.
3) Current driver’s license, clear copy must be submitted to Regional Council with EMS Provider certification application.
a. If the provider has been convicted within the last 4 years prior to the date of application of driving under the influence of drugs or alcohol, a copy of the practitioner’s driving record must be submitted.
b. If the provider has been convicted within the last 2 years prior tothe date of application been convicted of reckless driving or had a driver’s license suspended due to useof drugs or alcohol or a moving traffic violation, a copy of the practitioner’s driving record must be submitted.
Please email to email@example.com or firstname.lastname@example.org or fax to 814-337-0871.
Regional EMS Services
2019 Vehicle, equipment, supply requirements for EMS agencies Updated 6/29/19
ALS Amb Inspection Checklist 9/1/17
BLS Amb Inspection Checklist 9/1/17
CTT Checklist 9/1/17
QRS Inspection Checklist 9/1/17
Air Inspection Checklist 9/1/17
Reserve Ambulance Checklist 07/29/16
Station Checklist 07/29/16
Medical Directors Agreement 10/22/15
Sample ALS Authorization Form FY 2013