Service Medical Director Affirmation Form
DOH 4362 Medical Director Verification Form
Medical Control Physician Application - Orginal
Medical Control Physician Information Change Form
Medical Control Physician Renewal Form
All physicians seeking credentialing in the Westchester Region should be familiar with the REMAC Credentialing Policy .
tests can be scheduled by contacting the Regional EMS Office.
A provider must notify the Regional EMS Office of the following changes:
These changes must be communicated to the Regional EMS Office by submitting an Medical Control Physician Information Change Form with the appropriate section completed.
Westchester REMAC credentialing expires upon expiration of a physicians's NYS license. Prior to expiration the provider should submit an Application For Credentialing Renewal with copies of his or her new NYS license.
NOTE: Physicians who do not have a Primary Hospital Affiliation at the time of their expiration will not be allowed to renew.