August 10, 2021
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.
Brandon Ward, Director
Tennessee Department of Health
Office of Emergency Medical Services