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Click ‘Get Form’ to open the New York State Trauma Program form in the editor.
Begin by entering the 'CIC Candidate’s Name' and 'EMT#' in the designated fields. Ensure accuracy as this information is crucial for identification.
Proceed to fill in the 'Supervising CIC’s Name' and 'CIC#'. This section verifies the supervising candidate's credentials.
In the 'Date Completed' field, input the date when you finished your training topics. This helps track your progress.
Document your completed hours in the 'Hours Completed' section. Make sure this aligns with your training records.
The supervising CIC must sign and provide their CIC number in the appropriate fields to validate your completion of required topics.
Review all entries for accuracy before saving or exporting your completed form for submission.

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What are the level 1 trauma centers in NY?

Level I Trauma Center Bellevue Hospital Center. 462 First Avenue. Elmhurst Hospital Center. 79-01 Broadway. Jacobi Medical Center. 1400 Pelham Parkway South. Jamaica Hospital Medical Center. Maimonides Medical Center. NYC Health and Hospitals - Kings County. Lincoln Medical Mental Health Center. NYU Langone-Brooklyn.

What is a trauma registry?

The trauma center at NewYork-Presbyterian/Weill Cornell Medical Center ranked the # 1 Hospital in New York and the #4 Hospital in the country by U.S. News and World Report is an American College of Surgeons designated Level I adult and a Level II pediatric trauma center.