Controlled Substance Submissions

Welcome to the New York State Department of Health Bureau of Emergency Medical Service Controlled Substances renewal portal.

All renewal applications are due no less than 30 days prior to the expiration date of the agency’s operating certificate.  Ensure that all of the required documents are completed and uploaded in the appropriate section.

Please make sure that all corporate officers, including volunteer officers, Home addresses and telephone numbers are included.

Should you have any questions please feel free to contact your Regional Representative: https://www.health.ny.gov/professionals/ems/chart.htm

  

Is this an initial application or a renewal?
Name of Contact Person
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If any of the following below have changed, please complete the forms below 

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Include only employees/members who are authorized to administer controlled.
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This is for the duration of the current license.
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