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Medical Director Registration and Waivers

Registration

Physicians supervising EMS Providers must be registered with the Colorado Department of Public Health and Environment.  Registration is required as defined in Rules Pertaining to EMS Practice and Medical Director Oversight, 6 CCR 1015-3, Chapter Two, Section 4.

EMS Medical Director Registration Form
EMS Medical Director Affidavit

Waivers 

The Waiver Process

Medical Directors may request waivers from the scope of practice set forth in the Rules Pertaining to EMS Practice and Medical Director Oversight.  Typically, waiver requests are for exceeding the scope of practice of an EMS Provider as defined in the rules.  Waivers are submitted to the Department’s advisory council, the Emergency Medical Practice and Advisory Council (EMPAC) at its next quarterly meeting for consideration and recommendation, and then submitted to the Department for approval.  The EMPAC advises the Department as to its recommendation on approving, denying, or imposing special conditions on the waiver. The Department makes the final decision actions regarding waiver requests.

How to Submit a Waiver 

Waiver requests must be submitted on the following form.  Please refer to the instructions for completing this request. 

Waiver application process

The following documents must be submitted with the mailed waiver application.

RSI reporting form


Sean Caffrey
Emergency Medical and Trauma Services Section
HFEMSD A2
4300 Cherry Creek Drive South
Denver, CO 80246-1530
303-692-2989
sean.caffrey@state.co.us

Completed waiver requests must be submitted in electronic format by the established deadline in order to be considered by the next meeting of the Emergency Medical Practice Advisory Committee (EMPAC).

Waiver FAQ

Do I need to submit a waiver for each procedure or drug used in RSI for my Paramedics?
No. Submit one waiver for the entire procedure. However, be sure to include a detailed RSI protocol including all medications. 

Do I have to submit a copy of the quality control plan and protocol for the procedure or medication being applied for, or for the entire agency being supervised?
The entire agency being supervised. The purpose of this requirement is to have the supervising medical director demonstrate his or her compliance with the current rules, prior to a waiver being granted. The EMPAC and the Department may not provide a waiver to a physician who cannot demonstrate adequate supervision of the prehospital personnel as required in the rules.

Can a waiver request be submitted for any level of EMS Provider?
Yes.

Is the waiver process a one-time event?
No. The EMPAC meets every three months.  Waivers will be processed as quickly as possible to assure review by the EMPAC and the Department. Submission deadlines for waivers are posted on this page and on the "Waiver Request Form Instructions." 

 


Colorado Department of Public Health & Environment
HFEMS-A2
4300 Cherry Creek Drive South
Denver, CO 80246-1530
Phone: (303) 692-2980
Fax: (303) 691-7720