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Program Agency Coordinator
Agency Information Update Project
The information requested in the form below is required to be updated annually and it is a requirement of NYSDOH that the Council, Program Agency, and REMAC keep this information on file and up-to-date.
Please return the completed form by e-mail as quickly as possible. The completed form should be e-mailed here. If you have elections after the 9/1/17 deadline, please send current information now and make a copy of this form to return with updated information after your elections.
We are no longer accepting written responses. This form is available in a fillable PDF below and will then be uploaded to a master database. When sending this form back please change the word "Fillable" in the file name to your Agency Number.
Prehospital Care Agency Information Form
Monday - Thursday 8:30am - 4:30pm
Friday 8:00am - 4:00pm
Finger Lakes Regional EMS Council
63 Pulteney Street
Geneva, NY 14456