Instructor Manual Forms
These forms are provided for those who prefer to complete course forms manually rather than using the web-based system. All of these forms are in the Adobe Acrobat PDF format. The free Adobe Reader may be downloaded by following the link below, near the bottom of the page. Some of these forms are designed to be completed by typing your response directly into the form.
- Course Request and Instructor Verification Form — This form must be submitted by the course coordinator prior to the start of the class.
- Paramedic Initial-Completion Roster and Instructions - This form is to be submitted twice. Once after the first class meeting and again upon the completion of a Paramedic course. This form verifies that the minimum requirements of the program have been met and that all documentation is on file. The College Registrar must sign the form.
- EMT Initial-Completion Roster and Instructions — This form is to be submitted twice. Once after the first class meeting and again upon the completion of an EMT course. This form verifies that the minimum requirements of the program have been met and that all documentation is on file. The College Registrar must sign the form.
- Medical First Responder Initial-Completion Roster and Instructions - This form is to be submitted twice. Once after the first class meeting and again upon the completion of a Medical First Responder course. This form verifies that the minimum requirements of the program have been met and that all documentation is on file.
- EMS Driver Roster and Instructions - This form is to be submitted upon the completion of an EMS Driver course. This form verifies that the minimum requirements of the program have been met and that all documentation is on file.
- Request for Instructor Login
- Bureau of Emergency Medical Services
- Office of Emergency Planning and Response Course Roster
- Verification of Instructor Emergency Driving Classes Guidelines
Medical First Responder Course Forms
- Medical First Responder Skill Competency
Statement of Competency in First Responder skills
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Links referenced on this page |
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| Course Request and Instructor Verification Form | http://msdh.ms.gov/page/resources/7943.pdf | |
| Paramedic Initial-Completion Roster and Instructions | http://msdh.ms.gov/page/resources/7587.pdf | |
| EMT Initial-Completion Roster and Instructions | http://msdh.ms.gov/page/resources/2811.pdf | |
| Medical First Responder Initial-Completion Roster and Instructions | http://msdh.ms.gov/page/resources/7944.pdf | |
| EMS Driver Roster and Instructions | http://msdh.ms.gov/page/resources/7589.pdf | |
| Request for Instructor Login | http://www.ems.doh.ms.gov/pdf/instructor_login_request.pdf | |
| Bureau of Emergency Medical Services | http://msdh.ms.gov/msdhsite/index.cfm/47,html ok | |
| Office of Emergency Planning and Response Course Roster | http://msdh.ms.gov/page/resources/7626.pdf | |
| Verification of Instructor Emergency Driving Classes Guidelines | http://msdh.ms.gov/page/resources/7625.pdf | |
| Medical First Responder Skill Competency | http://msdh.ms.gov/page/resources/2809.pdf | |
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Resources referenced |
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| Course Request and Instructor Verification Form | https://msdh.ms.gov/page/resources/7943.pdf ok | |
| Paramedic Initial-Completion Roster and Instructions | https://msdh.ms.gov/page/resources/7587.pdf ok | |
| EMT Initial-Completion Roster and Instructions | https://msdh.ms.gov/page/resources/2811.pdf ok | |
| Medical First Responder Initial-Completion Roster and Instructions | https://msdh.ms.gov/page/resources/7944.pdf ok | |
| EMS Driver Roster and Instructions | https://msdh.ms.gov/page/resources/7589.pdf ok | |
| Office of Emergency Planning and Response Course Roster | https://msdh.ms.gov/page/resources/7626.pdf ok | |
| Verification of Instructor Emergency Driving Classes Guidelines | https://msdh.ms.gov/page/resources/7625.pdf ok | |
| Medical First Responder Skill Competency | https://msdh.ms.gov/page/resources/2809.pdf ok | |
Find this page at https://msdh.ms.gov/page/47,6516,307,368.html