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Emergency Medical Services
  • IMPORTANT: Conservation of Intravenous Fluids
  • Rules and Regulations
  • Office of EMS
  • About the Board of EMS
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Ambulance Service Forms

EMS Services

  • Ambulance Services Incident Report Form
  • Neonatal Inspection Supplement Form (PH-3941)
  • Notification of Changes – Ambulance Fleets (PH-3939) Rev 9-8-2023
  • Mechanical Inspection Form (PH-2405)
  • File a complaint on a Service (PH-3676)
  • Student Enrollment Roster-Trained at Amb Svc (PH-Png) 1-13-2020
  • Student Enrollment Invoice-Trained at Amb Svc (PH-Png) 1-13-2020
  • Initial Ambulance Service  Application(PH-3987)
  • Initial Ambulance Service Review (PH-4242)
  • 90 Day Ambulance Service Review (PH-4238)
  • Initial Air Service License Application (PH-4073)
  • Air Ambulance Service Audit Form (PH-4243)
  • Initial Invalid Service Review (PH-4237)
  • 90 Day Invalid Service Review (PH-4244)
  • Annual Invalid Service Audit (PH-4236)
  • Initial Invalid Service License Application (PH-4070) Rev 2/2025
  • Ambulance Service Renewal Application (PH-4318) 3/2024
  • Air Ambulance Service Renewal Application (PH-4317) 3/2024
  • Invalid Renewal Application (PH-4316) 3/2024

 

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Department of Health
Ralph Alvarado, MD, FACP Commissioner

710 James Robertson Parkway
Nashville, TN 37243
tn.health@tn.gov
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