Raven EMS Education Program Manual
Section 5.93 - Student Forms


Change Log (5.93.000)

DateAuthorDescription of ChangeCitations
2023-12-13Becker, T.Theron Jack BeckerCreated this section.
2024-05-17Becker, T.Theron Jack BeckerMoved this section from appendix to student manual. Also created the Terminal Competency Form with content from CoAEMSP.(CoAEMSP, 2024)CoAEMSP. (2024). Resource library. Committee on Accreditation of EMS Programs. https://coaemsp.org/resource-library
2024-05-31Becker, T.Theron Jack BeckerAdded content.(Becker, 2023)Becker, T. (2023). CMH education manual. OzarksEMS. https://ozarksems.com/edman.php
2024-08-01Becker, T.Theron Jack BeckerEach form previously had dedicated sub-section numbers, but they were removed for brevity and as none of the other forms are specifically numbered. 5.93.200 was the Authorization for Info Release, 5.93.400 was the Photo Rease, 5.93.600 was the Simulation Contract, 5.93.800 was the Policy Manual Acknowledgment, 5.93.850 was the Clinical Approval. 5.93.875 was the TSoP Evaluation, 5.93.900 was the Terminal Competency.
2025-01-08Becker, T.Theron Jack BeckerMoved online from Adobe InDesign document.

Links to Children

Attachments
Authorization for Information Release Form
Attendance Policy Acknowledgement Form
Assumption of Risk Agreement and Release of All Claims Form
Clinical Approval Form
Driving Course Student Safety Rules Form
Mutual Non-Disclosure Agreement Form
Policy Manual Acknowledgement Form
Photo and Video Release Form
Simulation Contract Form
Student Risk Assessment Form
Student Information Form
Terminal EMT Competency Form
Technical Scope of Practice (TSoP) EMT Evaluation Form


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