BLS Patient Assisted Medication Information
Forms and downloads
The following forms and information are available for download:
• Epi-pen Collaborative Agreement Adobe PDF (1.7MB)
• BLS Glucometer - application package Adobe PDF (1MB)
• NYSDOH Aspirin Administration 2007-01 Adobe PDF (80KB)
• NYSDOH Form 4188 Notice of Intent to provide Epi-pen Auto Injector
Adobe PDF (13KB)
• REMO BLS Albuterol Administration Program Word Doc (184KB)
• REMO BLS Albuterol QI Form Word doc (56KB)
• REMO Epi-Pen QI Form Word doc (29KB)
More information
Further questions regarding BLS Assisted Medication should be directed to:
Dean Romano, EMT-P
Quality Improvement Coordinator
Tel. 518-464-5097, Ext. 2
Email the QI Coordinator