Lake Forest North Region EMS System Entry Requirements

lake-forest-hospital-quality

Any provider entering Lake Forest North Region EMS System must complete the System Entry Process prior to practicing in the field at one of our System Departments, or in the hospital at Lake Forest or Grayslake. Requirements include:

Completed System Entry Request Form

Letter of Good Standing and CE report from previous EMS System

Copies of EMS State license, driver’s license, and current AHA BLS CPR card

Completion of pre-work packet

Completion of System Entry Class

2020 Region X Protocol Score

  NMnrEMSS Airway Credentialing Exam and Practical

System Entry Coordinator

Rita Rice

MS RN, CEN, TNS, PHRN

EMS Field Educator

224.271.4268

Rita.Rice@nm.org

 

Registration
  • System Entry Class Registration

    To attend System Entry Class, registration must be completed at least 24 hours before the scheduled class via the link below. 

    Click to register

System Entry Request Forms
  • ALS System Entry Request Form

    To become part of the System as a ALS Provider, fill out this request and submit to your Medical Officer or Department Manager. Completed packets sent to Rita Rice

              Rita.Rice@nm.org

    Click to download

    BLS System Entry Request Form

    To become part of the System as a BLS Provider, fill out this request and submit to your Medical Officer or Department Manager. Completed packets sent to Rita Rice

              Rita.Rice@nm.org

    Click to download

    Great Lakes ALS System Entry Request Form

    To become part of the System as a Great Lakes Fire Department ALS Provider, fill out this request and submit to your Medical Officer or Department Manager. Completed packets sent to Rita Rice

              Rita.Rice@nm.org

    Click to download

    Great Lakes BLS System Entry Request Form

    To become part of the System as a Great Lakes Fire Department BLS Provider, fill out this request and submit to your Medical Officer or Department Manager. Completed packets sent to Rita Rice

              Rita.Rice@nm.org

    Click to download

    ECRN System Entry Request Form

    To become part of the System as an ECRN, fill out this request and submit to your Department Manager. Completed packets sent to Rita Rice

              Rita.Rice@nm.org


    Click to Download