Medical Directives & Standards

Click on the document's version titles in the tables below to access a copy of the document.

Once a new version of a standard comes into force, it replaces the existing, in force version.

MD Pocket Books

Medical Directive Pocket Books

The long awaited Medical Directive Pocket Books for ALS PCS v4.4 are finally, but slowly arriving to the SWORBHP offices! We thank you for your patience and apologize for the delay. The new books will be shipped to your service for distribution as soon as the full order is received!

Need a Replacment?

If you require a new book, you may purchased a replacement book at a cost of $6.00 each. To purchase a book, please email:


Moble Medical Directive Apps
Ontario Parmedic Clinical Guide Medical Directive App
Update Aug 10, 2017: The OPCG App now allows you to download content so that the app can be used for offline viewing. You must update your app through the Apple App Store and Google Play.
  • Apple App Store (iPhone)
Download Now
  • Google Play (Android)
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  • Amazon Apps
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In Force As Of
Advanced Life Support Patient Care Standards
May 1, 2018
December 11, 2017
Basic Life Support Patient Care Standards
March 1, 2018
December 11, 2017
Field Trauma Triage and Air Ambulance Utilization Standards
June 2014
Ontario Ambulance Documentation Standards
April 1, 2017
Provincial Equipment Standards for Ontario Ambulance Services
May 1, 2018
December 11, 2017


Policies, Guides  & Manuals
CPSO Delegation of Controlled Acts Policy
September 1999
Prehospital CTAS Paramedic Guide
December 31, 2016
Ambulance Call Report Completion Manual
April 1, 2017

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Last Updated July 6, 2018 | © 2007, LHSC, London Ontario Canada