EMS Office Forms 

• Acknowledgement of Receipt of 2017 Pierce County
• EMR and EMT Initial Checkoff 3-2019
• EMR and EMT In-State Transfer Checkoff 1-2019
• EMR and EMT Reciprocity Checkoff 1-2019
• PM Upgrade or Initial - WA Trained - Checkoff 1-2019
• PM In-State Transfer Checkoff 1-2019
• PM Reciprocity Checkoff 1-2019
• Patient Care Protocols for EMR, EMT, Paramedics

• WA DOH EMS Evaluator (ESE) Partial Online Renewal Option
• Pierce County EMS MPD Specific Reminders for ESE Renewal
• Skills Competency for ESE Renewal Only Form

• First Certification Period
• Subsequent Certification Periods
• Pierce County OTEP Tracking Form
• Revised Washington State DOH Training, CME and Skills Maintenance Documentation
• Personal Status Changes
• Paramedic Reciprocity Skills Verification
• Protocol Change Request Form
• Suggest Topics for EMS Conference
• Ambulance/Aid Equipment List
• Physicians Order for Life Sustaining Treatment (POLST)                                           To order POLST forms or brochures visit the WSMA website