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Application for Re-Authorization

Please contact your Regional EMS Coordinator for assistance if:

  • Your currently authorized EMS service wishes to change the level or type of service.
  • Your currently authorized EMS service wishes to add satellite services.
  • Your agency wishes to be authorized to provide EMS within Iowa.

Sample agreements regarding appropriate transportation of patients within Iowa’s EMS system are posted below.

This sample System Response Agreement may be utilized in lieu of separate contingency plans and transportation agreements. The System Response Agreement may be modified to work for established EMS systems or within counties where some or all of the agencies wish to use one agreement to ensure appropriate transportation within the described service area.

Individuals interested in receiving authorization for a new service program should contact the local Regional Coordinator.