221-2500 Penn Avenue (map)
Pittsburgh, PA 15221-2166
tel:+1-412-242-7322
tel:+1-866-827-EMSI (3674)
fax:+1-412-242-7434

 

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Quality Dashboard

MD to HP Physician process

» We process applications from physicians wishing to attain the DOH Health Profession Physician certification, which allows the physician to function as a member an ambulance crew.

To begin the process, contact the EMSI Reciprocity Coordinator (right).

NOTE:  Parts of this process cannot be conducted online.  For instance, the Student Application form must be completed with a Number 2 pencil, and must be fed manually into an OpScan™ machine.  Where appropriate, we have provided other parts online so that you can start completing them now.

The definitive way to get this process rolling is to contact the EMSI Reciprocity Coordinator.

Instructions for Completing Student Application Form (See note, left)

Student Application Opscan Form (Completed sample -- see note, left)

Medical Command Authorization Form (recommended)

Criminal History Reporting Form

Also submit copies of your medical license, CPR card, and any BLS or ALS certifications you may have.