WEMSIS Demographics/EMS Resources Form

Please fill this form out with the information from the last calendar year.

 

For example: Chelan Co. PHD #2

 

If applicable, please enter the business name as advertised on signs or website, if different from EMS Service name or legal owner.


For example: Lake Chelan Valley EMS

 

(DOH Credentialing Number – Example AMBV.ES.00000000)

 

(Example: 42D09)

 
 
 
 

 

Your EMS service's annual response volumes in 2024

Please enter the each number below for EMS responses conducted from January 1, 2024, through December 31, 2024.


If you need detailed definitions of the volumes below please follow this link for more information:


WEMSIS Guidance on Demographic Information Exports and Reporting

 

All EMS activations for which a NEMSIS report was completed. This should include all ePCR’s documented in your software, and any reports resulting from cancelled or non-patient contact activations.

 

All EMS activations involving patient contact.

 

If your EMS service does not have transport units, please select "No".