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Forms & Documents

The Forms & Documents Page is here for the convenience of EMS Providers and REMS customers.  These are the most commonly requested documents, letters, and forms, grouped in one area.  If you can't find a form or document, please let us know by emailing [email protected],  and we will be happy to assist you!

Background Check/Fingerprinting:
  • Policy
  • FlowChart
  • FAQ
  • Disqualifying Factors
  • COV and EMS Regulations Citation
  • Challenge - Appeals Process
Forms:
  • Equipment Check Out Form / Equipment Use Agreement
  • Occupational/Source Exposure Report
  • Durable Do Not Resuscitate Program
General Information:
  • OMD Recertification Info
  • Rappahannock EMS Council Annual Report - Fiscal Year 2017
  • Rappahannock EMS Council Annual Report - Fiscal Year 2018
  • Rappahannock EMS Council Annual Report - Fiscal Year 2019
Policies/Plans:
  • REMS Regional Surge Plan
  • REMS Trauma Triage Plan
  • REMS RSAF Grant Review Procedures
  • REMS Regional Stroke Plan
  • 2021 REMS Medication Accountability SOG
  • Regional Restock Agreement
  • Hospital Diversion Policy for Emergency Patients 
  • Strategic EMS Plan 2022-2025
  • REMS Regional MCI Plan

REMS Financial Records:

  • 2019 990, Financial Audit
  • 2018 990, Financial Audit
  • 2017 990, Financial Audit

 

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