Service Forms

Certification Request Form

Paramedic colleges or paramedic service: download and complete this PDF to request the certification of a student or paramedic.

Cross-Certification Referral Form

For paramedics who would like to request cross-certification in the RPPEO region from another base hospital. Please submit one form for every Regional Base Hospital Program or certifying body within the past 10 years.

Return to Clinical Practice

Paramedic services anticipating the return to work of a paramedic who has been away for 90 days or more, please complete this form to submit a Return to Clinical Practice request on behalf of the paramedic.

Maintenance of Paramedic Certification
Returning to Practice
De-certification
Continuing Education and Certification Team
Service Forms
MedicNET

RPPEO Forms

Patient Safety Incident Report
Elective CME Pre-Approval Request
Data Request
Loss or theft of controlled substances
MedicASK
Service Forms
Return to Clinical Practice (Service Form)
Downloads and Resources
Case Review Request Form

Local: 613-737-7228 | Long Distance: 877-587-7736

Ottawa, 2475 Don Reid Drive, Ottawa, On, K1H 1E2
Kingston, 400-1471 John Counter Blvd, Kingston, ON, K7M 8S8

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Service Forms

Certification Request Form

Cross-Certification Referral Form

Return to Clinical Practice

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RPPEO Forms