As of September 8, 2025, BCEHS paramedics and emergency medical responders (EMRs) will ask all patients if they identify as First Nations, Inuit, or Métis.
This initiative is a voluntary, confidential self-identification process for patients who identify as Indigenous: First Nations, Inuit or Métis, and aligns with standard practice at most health care facilities across BC.
This change was developed with the Indigenous Health Program to support culturally safe and trauma-informed care. It reflects legal requirements from the BC Ministry of Health and is part of BCEHS’ commitment to reconciliation.
If you have Indigenous ancestry, you may choose to self-identify. This is based on how you define your own identity — you do not need to provide proof.
How you answer the question will not affect your level of care. Patients may decline to answer at any time, regardless of how they identify.
All information is completely confidential and protected by the Freedom of Information and Protection of Privacy Act.
Asking patients to self-identify as Indigenous is an important step toward helping improve cultural safety in emergency care and addressing health inequalities experienced by Indigenous Peoples.
- Equity in care
Indigenous Peoples in BC have and continue to experience inequities and racism in the healthcare system, as highlighted in the In Plain Sight report. Asking this question helps recognize and address these inequities and may connect patients with cultural and wellness resources. -
Data-Informed change
Collecting consistent and accurate data helps BCEHS measure equity in emergency services and identify areas for improvement. -
Respect and choice
Patients are asked in a respectful and consistent way, with no assumptions made about their identity. -
Commitment to reconciliation
This initiative reflects BCEHS’ and the provincial commitment to advance reconciliation, cultural safety, and anti-racism in healthcare.
Indigenous self-identification also supports key initiatives like:
If you have any concerns, please reach out to the
Patient Care Quality Office.
