EMS Agency Request for Paper PCRs

 

This form is to be used by EMS Agencies to submit requests for distribution of Paper PCRs. The submission is based on the following tenets: 

  • EMS Agency has complied with all Regional QI Components
  • EMS Agency has submitted Paper PCRs via the Paper PCR Portal on a timely and consistent basis
  • EMS Agency has no outstanding commitments to the Regional EMS Program Agency 

Any questions should be directed to emsdata@health.ny.gov prior to submitting the Paper PCR request.  EMS agencies not currently submitting paper PCRs through the Paper PCR Portal as of 04/01/2021 will be contacted by the Bureau of Emergency Medical Services and Trauma Systems

 

Agency Contact Information