Skip to main content
Your browser does not support iFrames
Navigation menu
Department of
Health
Individuals/Families
Birth, Death, Marriage & Divorce Records
Health Insurance Programs
Consumer Health Care Information
Community Health
Healthy Lifestyles
Health & Safety in the Home, Workplace & Outdoors
Diseases & Conditions
Data & Reports
Health Topics A to Z
Providers/Professionals
Narcotic Enforcement
EMS
Health Initiatives
Data & Reports
Diseases & Conditions
Patient Resources
Disease Reporting
Clinical Guidelines, Standards & Quality of Care
Permits, Licenses & Certification
All Health Care Professionals & Patient Safety
Health Topics A to Z
Health Facilities
Adult Care Facilities/Assisted Living
Home Care & Hospice
Hospitals & Clinics
Nursing Homes
School Based Health Centers
All Health Care Facilities
Health Topics A to Z
Nov 2021 EMS Mobilization Contract Polling Survey - Queensbury Testing
Agency Name
Agency Code
Service Type
Ambulance Service
ALS FR
BLS FR
Agency Type
Paid
Volunteer
Combination
Level of Care (choose highest level authorized)
EMT
AEMT
AEMT-CC
Paramedic
Specility Care Transport
NYS County
Agency Contact Information
Name
Company
Email
Phone
Address
Address 2
City/Town
State/Province
- Select -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces (Canada, Europe, Africa, or Middle East)
Armed Forces Americas
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Federate States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZIP/Postal Code
Alternate phone number
How many ambulances does your agency currently operate?
How many EASV's does your agency currently operate?
Please acknowledge that this contract term is for December 1, 2021 to June 30,2022
I acknowledge that I can commit resources for this length of time
I acknowledge that I cannot commit resources for this of time, but will respond in case of vacancies
Please acknowledge this state or HRI (federal) contract is currently for 1 ALS Ambulance with crew (Paramedic and EMT) to be at each of the listed sites below. When responding to the survey, please answer each question related to the ask of an ALS ambulance and that the site hours are normally (subject to change) from 7AM to 7PM Monday, Wednesday and Friday..
Yes
No
I acknowledge that all responses are with ALS ambulances in mind
Yes
No
Can your agency provide standby services for: EMS Standby for a Testing Site in Queensbury, NY (Warren Co.)
Can Support
Cannot Support
If the request is for additional sites to be opened, how many additional sites can the agency support (numeric response)
Will your agency require travel with long-term stays (permitted for any travel over 50 miles one-way) to any specific sites? If yes, please list all sites that this would apply for
Submit