Human health and social needs exist along a dynamic continuum. Recognizing that health status is inextricably impacted by social determinants of health, community paramedicine has both an opportunity and a responsibility to address social needs and improve health justice. Community paramedicine programs have existed since the early 2000s, and while resource optimization remains a predominant driver, innovation in recent years demonstrates that when community paramedicine is integrated into healthcare, it is well-positioned to meet the needs of structurally marginalized communities by focusing services for those facing barriers to accessing equitable care. In early 2023, Lunn et al led a scoping review that described the evolving ways community paramedicine models are addressing health and social needs within communities around the world. A key recommendation from the review was the need to meaningfully engage communities when developing programs to better understand, co-design and implement a model that addresses the specific needs of each community; however, there was a lack of evidence to guide this approach. Therefore, the research team is identifying and synthesizing community health and social needs assessment tools and frameworks. These findings will inform an interim Community Paramedicine Needs Assessment Tool (CPNAT) that the team aims to finalize with community paramedicine experts at a convening in Quebec City in June 2024. The CPNAT will enhance health equity by guiding community paramedicine programs to better align their services with the health and social care needs of communities.