EMS Office Forms

• Acknowledgment of Receipt of 2107 Pierce County
  Patient Care Protocols for EMTs
• Acknowledgement of Receipt of 2017 Pierce County
  Patient Care Protocols for Paramedics
• EMS Evaluator (ESE) Renewal
  • 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
• Paramedic Continuing Education / Skills Record
  • 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