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Emergency Medical Technician (EMT) License Application and Instructions

https://www.princeedwardisland.ca/sites/default/files/forms/emergency_medical_technician_emt_license_application_and_instructions.pdf
2019-09-03
In order to practice Emergency Medical Technology in Prince Edward Island, all applicants must hold current registration with the EMS Board of Prince Edward Island. Use the guide in this document to identify the right application type.  
Microsoft Word - 2018.Oct.EMTLicense.Application.19-21_1.docx Emergency Medical Services (EMS) Board of Prince Edward Island c/o Emergency Health Services – Health and Wellness 4th Floor Shaw Building North, 105 Rochford Street, PO Box 2000...

Immunization Report Form (email)

https://www.princeedwardisland.ca/sites/default/files/forms/immunization_report_email_2019.xls
2019-08-30
The 2019-2020 report form for recording and reporting immunizations by email to the Chief Public Health Office. Immunizers are encouraged to report electronically, if possible. Contact the Chief Public Health Office at (902) 368-4996 if you have questions about your reporting requirements.
Immunization Record Please return this form by email to: DHW Immunization Report Form 2019-01 Sep 2019 Chief Public Health Office Email: epidem@ihis.org Name PHN Date of Birth (mm/dd/yyyy) Sex Civic Address Product If Other, specify Date...

Immunization Report Form (printable) 2019

https://www.princeedwardisland.ca/sites/default/files/forms/immunization_report_printable_2019.xlsx
2019-08-30
The 2019-2020 printable report form for recording and reporting immunizations by fax or mail to the Chief Public Health Office. Immunizers are encouraged to report electronically, if possible. Contact the Chief Public Health Office at (902) 368-4996 if you have questions about your reporting...
Immunization Record Please return this form by mail to: Chief Public Health Office DHW Influenza Immunization Report Form 2019-01 Sep 2019 Name of Reporting Doctor or Facility: Name PHN Date of Birth (mm/dd/yyyy) Sex Civic Address Postal Code Vaccine...

Emergency Medical Technician (EMT) Verification of Registration Form

https://www.princeedwardisland.ca/sites/default/files/forms/emergency_medical_technician_emt_verification_of_registration_form.pdf
2019-07-10
Complete this form to verify your registration with the appropriate regulatory body.  Send forms to each regulatory body where registered and/or licensed currently or previously. Additional copies of this form must be used if you have been registered in more than one province/territory.  
Microsoft Word - copr VOR form.20jun19.docx Return completed form to:  Emergency Health Services, Department of Health & Wellness, 4th Floor Shaw  Building, PO Box 2000, Charlottetown PE  C1A 7N8    Verification of Registration For the...

PEI Physiotherapy Sponsorship Program

https://www.princeedwardisland.ca/sites/default/files/forms/application_form_2019_physiotherapy_sponsorship.pdf
2019-01-21
PEI PHYSIOTHERAPY SPONSORSHIP PROGRAM APPLICATION FORM Application DEADLINE: February 18, 2019 This application form is for students who: are enrolled in the final year (continuous full-time) of an accredited Master’s of Science...

Family Medicine Sponsorship Program Application Form

https://www.princeedwardisland.ca/sites/default/files/forms/family_medicine_sponsorship_program_october_3_2019.pdf
2019-01-15
Click here to access the Family Medicine Sponsorship Program Application Form
Page 1 FAMILY MEDICINE SPONSORSHIP PROGRAM APPLICATION FORM Application DEADLINE: November 30, 2019 This application is open to medical students enrolled in a recognized Canadian Medical School who are currently in their...

Emergency Medical Technician (EMT) Emergency Call-Out Form

https://www.princeedwardisland.ca/sites/default/files/forms/emergency_medical_technician_emt_emergency_call-out_form.pdf
2019-01-07
Complete this form for all emergency call-outs.  
Microsoft Word - 2018.Oct.EMTLicense19-21.EmergencyCallOuts_1.docx Emergency Medical Services (EMS) Board of Prince Edward Island c/o Emergency Health Services –...

Emergency Medical Technician (EMT) Continuing Education Units Form

https://www.princeedwardisland.ca/sites/default/files/forms/emergency_medical_technician_emt_continuing_education_units_form.pdf
2019-01-07
Complete this form to indicate your Continuing Education Units (CEUs).  
Microsoft Word - 2018.Oct.EMTLicense19-21.ContinuingEducationUnits_1.docx Emergency Medical Services (EMS) Board of Prince Edward Island c/o Emergency Health Services – Health and Wellness 3rd Floor Sullivan, Fitzroy Street, PO Box 2000...

Emergency Medical Technician (EMT) National Licensing Examination Registration Form

https://www.princeedwardisland.ca/sites/default/files/forms/emergency_medical_technician_emt_national_licensing_examination_registration_form.pdf
2019-01-07
Complete this form to register for EMT National Licensing exams.  
EMS Board of PEI - COPR/OCRP Entry-to-Practice Examination Registration Form Emergency Medical Services (EMS) Board of Prince Edward Island c/o Emergency Health and Planning Services – Health PEI 3rd Floor Sullivan Building, Fitzroy St, PO Box 2000...

Nursing Incentive Program Reference Form

https://www.princeedwardisland.ca/sites/default/files/forms/reference_form_fillable.pdf_-_adobe_acrobat_pro_1_0.pdf
2018-11-20
This is the form to be completed by those providing a reference to the Nursing Incentive Program. 
PEI Nursing Recruitment Incentive Program Reference Form This reference is being provided as part of the PEI Nursing Recruitment Incentive Program. The information collected on this form will assist with administering the program and...

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