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Firefighting crew walking in a line near a truck.

Wildland firefighting and other forms of field work demand a high level of fitness to safely perform arduous, day-long work in difficult environmental conditions, including steep terrain, extreme temperatures, altitude, and smoke, and to meet unforeseen emergencies. When prolonged hard work is involved, fitness is the most important factor in work capacity.

Firefighter working the ground with a long handled tool.

Work capacity is a composite of fitness, acclimatization, nutrition, skill, experience, motivation, and intelligence. Fitness is the most important factor. Most wildland firefighters must meet minimum levels of fitness requirements for the type of duties they are assigned.

Firefighters marching in a line up a trail with tools and gear.

Some jobs, like firefighting, require passing a job-related Work Capacity Test to meet minimum qualifications. Such tests help ensure that prospective workers have the capacity to perform work without undue fatigue and without becoming a hazard to themselves or coworkers.

Federal Interagency Medical Standards for a Wildland Firefighter

FS Version of Medical Standards 

eMedical Documents

LEO Fire Position and Exam Notice 

USFS eMedical Program Implementation (2017) 


FS eMedical Roles Guide   

USFS WCT Implementation Guide (2015)

HSQ Coordinator Confidentiality Form

Informed Consent Form FS-5100-30

Health Screening Questionnaire (HSQ) FS-5100-31

Optional Form 178: (Arduous), (Moderate), (Light)

eFax Cover Sheet (2016)

2016 HSQ Form Evaluation Instructions

eMedical Individual Role User Guides

HSQ Coordinator  

Regular Employee (PFT, PSE)    

Interim Employee (New Hires, Temp Seasonal)  

Administratively Determined (AD) Employees

AD Employee (en español)

Supervisor/Fire Supervisor

WCT Administrator


Helpful Information

Waiver Guidance Flowchart for HSQ Coordinators

HSQ Guidance Flowchart for Employees and AD's

Waiver Guidance for Employees / AD's to take the WCT

Waiver Guidance for HSQ Coordinators

Guidance: When Medical Status Has Changed

Form:  Medical Status Change

Guidance: Employee on Modified Duty 


eMedical Employee (Available with ConnectHR access)

eMedical Public Site (for temporary, ADs and new USFS employees)

Physician Documents

Medical Provider Flowchart

Physician User Guide

Medical Provider eOF178 Guidance Sheet

Letter to Medical Provider

WCT Brochure

Essential Functions of a Wildland Firefighter

Optional Form 178 (OF-178) for Arduous, Moderate, or Light

Physician Forms (for medical provider-use only)


CAD - Murmur - Heart Surgery - Implant

Diabetes Mellitus



Musculoskeletal - CNS - PNS



Seizures - Syncope



HSQ Coordinator Demo

Employee/Supervisor/WCT Administrator Demo


Questions? Suggestions? Help? Contact the eMedical Qualifications Program Helpdesk via email: