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Out of State Personnel

August 10, 2021

Good afternoon,

If you have services who are/or plan to use out of state personnel under EO 83, they need to fill out and submit the attached form. This applies to all out of state personnel. The EO supersedes replica and this is required under the EO. These should be emailed to the address in the instructions. Please make your services aware that we must have this on file for each individual working with an out of state license.

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Brandon Ward, Director

Tennessee Department of Health

Office of Emergency Medical Services