Create an account: Step 1 of 2

Are you a Pennsylvania EMS Provider?

An EMS Provider consists of one of the following levels certified by the Pennsylvania Department of Health:

  • PA EMS First Responder
  • PA EMS Emergency Medical Technician (EMT)
  • PA EMS EMT-Paramedic
  • PA EMS Pre-Hospital Registered Nurse (PHRN)
  • PA EMS Physician

If you select Yes, you will be asked a series of questions to identify yourself and your EMS certification. The information you submit must be complete and accurate, or your request will be rejected.

YesNo

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