The department is currently certified by the State of Iowa at the Emergency Medical Technician-Intermediate level and has volunteers certified from the First Responder level to the Paramedic Specialist level.  APOFD takes pride in its service based approach to EMS.  We are the first response agency for the City of Arnolds Park, the city of Okoboji as well as the lower chain of lakes.  We tier with Lakes Regional Healthcare Paramedic Ambulance service that provides continuing care and transport of our patients.