Annual Agency Update

The Annual Agency Update ensures we have the most up-to-date information on your agency. This valuable resource allows ODEMSA the ability to reach the appropriate person should we need to. It is also used to update the regional Infectious Disease Registry, our website, and many other regional plans and documents.

This survey should be completed once by a single person. Based on the information ODEMSA has, some form fields will auto-populate with your agency’s data. You will need to have your agency number to complete the form.

Before completing the update, please gather or have on hand the following items to aid you in the completion of this update:

Agency Info:

  • Phone Numbers
  • Fax Number
  • Website address
  • Facebook URL
  • Mailing and Physical address
  • Number of Providers:
    • EMR
    • EMT
    • AEMTS
    • Intermediate
    • Paramedic
  • Number of ambulances
  • Specialty team(s)
  • Specialty units/equipment
  • Communications center name and phone number
  • OEMS License Type
  • Services Provided
  • Fee for Service/Non-Billing
  • Agency staffing info (Career vs. Volunteer)
  • Clinical Student Programs
  • Fiscal year start
  • Youth Program
  • Meeting Schedule

The name, title, phone number, and email for the following individuals (if applicable):

  • Primary Contact/Super User
  • Emergency Manager
  • Peer support
  • EMS Physician (OMD)
  • Business Contact
  • Operational Contact
  • Secondary Operational Contact
  • Training Officer
  • Recruitment & Retention Officer Contact
  • Drug Box Inventory
  • Performance Improvement or QA/QI Contact
  • Sub-Council Representative
  • Infection Control Officer (up to three)

To update your agency information click the button below.

Click here to complete the Annual Agency Update

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