The New York State Department of Health (DOH) DOH-4231 form is a crucial document for EMT-Paramedics seeking recertification under the Bureau of Emergency Medical Services and Trauma Systems Continuing Education Recertification Program. This comprehensive form requires paramedics to provide detailed personal and professional information, including their EMT number, agency code, and social security number, along with their contact details. Applicants must affirm their commitment to follow all the requirements of the Continuing Education (CME) Program, maintaining their certification throughout. It emphasizes the importance of truthful and complete submissions, as any falsification may lead to severe repercussions, including revocation of certification and potential legal penalties. The form outlines the structured recertification path, detailing specific educational components such as refresher training hours in various critical care areas, mandatory topics, and additional continuing education hours required for recertification. It also integrates a section for the Physician Medical Director to attest to the applicant's proficiency, alongside a declaration by the sponsoring agency confirming the applicant's active participation in the CME-Based Recertification Program. Completing the DOH-4231 form accurately and submitting it within the prescribed timeline is essential for EMT-Paramedics in New York State aiming to maintain their certification and continue providing vital emergency medical services.
| Question | Answer |
|---|---|
| Form Name | Doh 4231 Form |
| Form Length | 3 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 45 sec |
| Other names | amap recerification form, new york state c4 forms, nys doh recertification, new york state cna recertification form |