Forms

Here you will find a list of commonly used forms you can download and fill out.

 

Authorization to Practice Application

This form is for providers needing an Authorization to Practice . This form must be filled out in it's entirety and signed my a Deptartment Athorized Supervisor
Download Form

Notification/Request

Use this form to notify Cape and Islands EMS for an unusual occurrence as established by policy and procedures.
Download Form

State Serious Incident Reporting Form

This form is provided by the State of Massachusetts for reporting serious incidents
Download Form

CIEMSS Zoom Policy

This policy outlines requirements for students attending zoom or other video based educational programs with Cape and Islands EMS.
Download Form

advisory 21-09-01: ensuring paramedic competency in 12 lead ecg interpretation

This advisory from the State of Massachusetts reviews requirements for 12 Lead EKG.
Download Form

MA Continuing Education Attendance Roster

Official MA OEMS Con Ed Attendance Roster
Download Form