EMS and Trauma Forms

Forms for EMTs and EMT Candidates

NOTE: Some forms are in PDF format only, others can be completed online.

Please see Ambulance Licensing for all ambulance forms.

Finger Print Form
Reciprocity Request
Complaint form

College Use Only

Application to Conduct Course

Data Request Forms for Academic Researchers

CARES data request form (smartsheet)
EMS & Trauma Research Proposal Template
Oregon Trauma Registry Request Flow Chart
Oregon Trauma Registry Data Use and Confidentiality Agreement

Oregon Data Systems Request Forms

Go to our Form Request and fill in the appropriate information. Refer to the table below to understand which form best fits your needs. If you have additional questions about this process please contact our office at ems.trauma@dhsoha.state.or.us.

I want to	Request Form
Access OTR, OR-EMSIS or Hospital Hub	Access Request
Make a data request, or ask for specific information	Data Request
Reset my password or get other help with my account	Support Request