Online Forms

Self Report Form

Report an incident
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Patch Failure

Report a patch failure
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CME Preapproval

Request approval for external CME credits
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Clinical CME Completion

Please complete this form to have your CME hours added
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MedicASK

Post a question for our Medical Panel
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Certification Extension Request Form

Request an extension to complete requirements
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Service Forms

Request for Certification

Return to Practice
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Request for Certification

Initial Certification
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Cross Certification Form

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Ontario EMS and Base Hospitals work in collaboration to ensure safe quality pre-hospital patient care is provided to every patient.

Northwest Region Prehospital Care Program
290 Munro St. Suite 2400
Thunder Bay, Ontario
P7A 7T1

Phone: (807) 684-7950
Fax: (807) 683-3211
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
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