Forms
EMS TSFA Trauma System Development Application FY22
EMS Committees - Form
October 13, 2020
This document describes the required process for eligible trauma system development projects to receive funding. Funding will be issued through a separate agreement between each approved organization and the New Mexico Department of Health Memorandum of Agreement process.
JOE Instructor Coordinator Transfer Request
EMS Committees - Form
October 20, 2017
This is a document to be filled out when an Instructor Coordinator is changing his/her training institution affiliation or adding an affiliation with a training institution.
JOE Instructor Coordinator Re-Entry Application
EMS Committees - Form
July 14, 2017
This is the re-entry application for instructor/coordinators.
JOE Instructor Coordinator Renewal Application
EMS Committees - Form
July 14, 2017
This is the renewal application for existing instructor/coordinators.
JOE Instructor Coordinator Initial Application
EMS Committees - Form
July 14, 2017
This is the initial application for new instructor/coordinators.
JOE Education Designee Form
EMS Committees - Form
May 19, 2017
This form is applicable for the following entities to utilize: the director and medical director of the academy, and the director and medical director of each approved emergency medical services training program, the state emergency medical services medical director, and the bureau chief whose designee shall serve without vote.
JOE Proxy Form
EMS Committees - Form
May 19, 2017
This form is applicable for the following entities to utilize: Each emergency medical services regional office training coordinator and providers from the three highest levels of licensure, who are appointed by the secretary from a list proposed by the statewide EMS advisory committee.
EMS RETRACS TPIC Performance Improvement Reporting Form
EMS Committees - Form
November 27, 2013
This form should be used to report performance improvement issues.