EMS Virtual Lecture Series
This series is a joint effort between Town of Wallkill Emergency Medical Services and NYC Health + Hospitals (Kings County and Bellevue Hospitals). You will receive a confirmation detailing the CME credit value for each session. Please note that CME credit will only be awarded for hours actually attended.

You will not receive CME credit if you do not pre-register.  

Questions? Email LectureEMS@gmail.com     

Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
What is your current NYS DOH EMS certification level? (Please choose "other" if not listed below.) *
Required
What EMS service do you work for (e.g., FDNY, TOWEMS)? (If does not apply, write "none".) *
What is your EMS Regional Council? (Choose all that apply.) *
Required
What is your NYS DOH EMS certification number? (If does not apply, enter "0".) *
Which session(s) are you registering for? *
Required
How did you hear about us?
What topic(s) do you want to see in future sessions?
IMPORTANT: Click 'submit' to view the confirmation page containing the meeting link and other important details. Please save your confirmation. *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms