Wildland Firefighter Medical Standards

​The Department of the Interior is authorized under 5 Code of Federal Regulations 339 - Medical Qualification Determinations to require wildland firefighter medical standards [pdf] for fire positions considered arduous. All arduous wildland firefighters are required to participate in an initial, comprehensive exam and then subsequent periodic exams during their career.

In 2022, the Interior Department’s Wildland Fire Medical Standards Program began transitioning to a new medical exam system. This will not affect how exams are conducted but will increase information security and data protection of personal and medical information.

Training for the new medical standards system will be available for all users. Those who need to verify the medical qualification status of firefighters will be required to complete additional steps prior to accessing the new system.

Frequently Asked Questions

We understand the complexity of medical exams and the medical standards program, but each of these processes help to enhance the safety of our firefighting workforce. These frequently asked questions are here to help you through the process! 

For one-on-one technical assistance or questions, please contact us at: wlffcsr@blm.gov.


The effort to transition to this new medical examination system has been underway for several years and in the coming weeks it will finally be online and available to fire staff who previously used the CAS system. Like any transition there will be bumps along the way, but we want to make this effort as seamless as possible for you. The contractor formally known as CHS has been rebranded to Acuity-CHS. This is the same contractor that has been conducting the exams since 2014.

The new system will include enhanced security measures to protect personal information and health data, as well as the ability to serve all medical standards programs within the department.

Training will be available for all users. Information on how to access the new system will widely be available for all 500+ users that have completed the requisite privacy related training. Those who need to verify the qualification status of employees will be required to complete additional steps before accessing the new system for the first time. For those users that have already completed privacy training to gain access to the new system they will not be required to complete additional training.

As we all know, all wildland firefighters must take a medical exam. Whether they’re new to wildland firefighting, doing a periodic checkup, or your annual certification. Everyone needs to do one. This new system will ensure that happens in efficient way that protects individual’s privacy.  We understand the complexity of this transition, but this process is incredibly valuable and we’re here to help! For one-on-one technical assistance regarding the wildland fire medical exam process please contact us at: wlffcsr@blm.gov.