Thank you for using the Prehospital Care Order Form (pdf).

Please download the form, fill it out, print it and mail it to us. 

Allow 4-6 weeks to process your order.

• All orders must be accompanied by a check or money order.
• All orders are still on a prepaid basis.
• Include a street address - UPS cannot deliver to a P.O. Box.
• Make checks payable to: Oregon Health Authority - EMS
• Mail completed form and payment to:
  
  Oregon Health Authority - EMS
  Business Services - 465
  P.O. Box 14260
  Portland, OR 97293-0260
  

If you have any questions, please contact us.