Tennessee Department of Health Forms

This form is used for criminal background disclosure documentation and information in the state of Tennessee.

This form is used for downgrading an EMS license in Tennessee. It serves as an affidavit in the process.

This Form is used for applying for course approval in Tennessee.

This form is used for verifying the initial clinical training of individuals in the state of Tennessee. It helps ensure that individuals have completed the required training before practicing in a clinical setting.

This form is used for verifying education in the state of Tennessee.

This form is used for EMS trainees in Tennessee to complete a clinical assessment during their EMT training. It helps evaluate their skills and knowledge in emergency medical situations.

This Form is used for verifying paramedic critical care training in the state of Tennessee.

This form is used for applying for trauma center designation in the state of Tennessee.

This document outlines the competitive requirements for doing business in the state of Tennessee. It includes information on necessary permits, licenses, taxes, and regulations that businesses must comply with.

This document provides guidelines and procedures for detecting and managing Covid-19 cases in homeless service sites and similar settings in Tennessee. It includes measures to mitigate the spread of the virus and protect the homeless population.

This document provides a questionnaire that gathers technical information relevant to the state of Tennessee.

This document for submitting a request for a grant proposal in Tennessee.

This type of document is a discrimination complaint form specifically for the state of Tennessee. It is used to file a complaint if an individual believes they have experienced discrimination.

This document is a complaint form for discrimination in Tennessee, written in Spanish.

This document is for individuals in Tennessee who want to apply for a license as a medical X-ray operator.

This Form is used for providing a medical statement when applying for an Emergency Medical Services Professional License in the state of Tennessee.

This Form is used for declaring citizenship in the state of Tennessee.

This form is used for evaluating the skills of advanced emergency medical technicians taking a course in Tennessee.

This form is used for evaluating the skills of emergency medical technician course students in Tennessee.

This form is used for the comprehensive practical skills evaluation of paramedics in Tennessee. It ensures that paramedics possess the necessary skills and knowledge to provide effective medical care in emergency situations.

This form is used for EMS professionals in Tennessee to apply and pay fees.

This document details the strategies and objectives for promoting a healthier built environment in Tennessee. It includes plans for evaluation and actionable guidelines for creating spaces that facilitate physical activity and overall health in communities.

This document describes the implementation of Electronic Case Reporting (ECR) in healthcare facilities in Tennessee. ECR is a digital system used for reporting and monitoring cases of communicable diseases and other public health issues. It aims to improve the efficiency and accuracy of reporting, helping to identify and respond to outbreaks more effectively.

This form is used for reporting positive Covid-19 test results in the state of Tennessee.