PAD and AED Information
Forms and downloads
The following forms and information are available for download:
• NYSDOH Form 4135 Notice of Intent to provide Public Access Defibrillation
Acrobat PDF (84KB)
• NYSDOH Policy Statement 07-04- Public Access Defibrillation
Adobe PDF (139KB)
• NYSDOH Section 3000-a NY Public Health Law Adobe PDF (350KB)
• NYSDOH Section 3000-b NY Public Health Law p1 Adobe PDF (305KB)
• REMO Collaborative Agreement AED Word doc (27KB)
• REMO PAD Checklist Adobe PDF (120KB)
• REMO PAD Provider Packet Table of Contents Word doc (88KB)
• REMO PAD QI Report Acrobat PDF (238KB)
• REMO Quarterly PAD Report Word Doc (43KB)
• REMO Regional Council Collaborative Agreement for PAD Word Doc (27KB)
• REMO Roles and Responsibilities for PAD providers Acrobat PDF (120KB)
More information
Further questions regarding PAD and AED should be directed to:
Dean Romano, EMT-P
Quality Improvement Coordinator
518-464-5097, Ext. 2
Email the QI Coordinator