Skip to main content

logo 2

Northwest Region Prehospital Care Program
290 Munro St., Suite 2400, Thunder Bay, ON P7A 7T1
Phone: (807)684-7950 Fax: (807)683-3211

Request for Certification

Return to Practice 

Invalid Input
Invalid Input
Invalid Input

SECTION A

(to be completed by the Employer Requesting Certification)

Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input

Employment Status





Invalid Input

EMPLOYER SUPPORTING CERTIFICATION

The above paramedic meets all qualifications for employment under the Ontario Regulation 257/00 under the Ambulance Act
Input required
The above paramedic is physically capable of performing all duties within their scope of practice with no restrictions.
Please select Yes or No
Invalid Input
Invalid Input
Please check the box below as your signature verifying that all the information provided is true and accurate.
This is required to continue. If the information is incorrect or false please close this page.