IF YOU HOLD AN EMS CERTIFICATION AND WANT TO UPGRADE FOR CERTIFICATION AT A HIGHER LEVEL, YOU MUST SUBMIT THE INITIAL PAPER APPLICATION. UPGRADES IN CERTIFICATION CANNOT BE SUBMITTED ELECTRONICALLY AT THIS TIME. TO ACCESS THE PAPER INITIAL EMS CERTIFICATION APPLICATION, click on: http://www.dshs.state.tx.us/emstraumasystems/formsresources.shtm#Initial
At least 18 years old
Complete high school or GED certificate
Successful completion of a DSHS approved EMS training course
Submit EMS Personnel Certification Application and fee
Pass National Registry exam
To gain paramedic licensure status, you are required to follow the steps above and submit proof of either a two-year EMS degree or a four-year degree in any field
Submit fingerprints through the Fingerprint Applicant Services of Texas (FAST) form
for Texas/FBI criminal history check. To schedule your fingerprinting, see L-1 Identity Solutions Locations
Texas has five levels of certification. The highest is licensed paramedic, followed by EMT-P, EMT-intermediate, EMT-basic and emergency care attendant (ECA).
EMS degree programs are available, though many courses are offered through technical programs and others are approved through programs outside college settings. In Texas, EMS training programs are approved and monitored by staff in field offices located throughout the state. Contact the field office nearest you or see our Forms and Resources page for information on available EMS courses.
For exam information, contact National Registry at www.nremt.org.
To view EMS certification/licensure rules and policies, visit our Rules/Policies page.
Application and exam process for all applicants:
Note that the processes for state application and National Registry application are separate and distinct. You must pass the NR exam to become eligible for state certification; therefore, you must meet all requirements (such as application, fee, etc.) set forth by NR. To view NR requirements, go to www.nremt.org. If you want to work in Texas, you must gain state certification by following the application instructions below. You are allowed to take the NR exam prior to submitting your state application.
- For information about National Registry computer-based testing (CBT), visit our Exam Information page.
- You are responsible for meeting NR application and fee requirements, as well as any other requirements necessary for gaining NR certification.
- The NR office will notify you of your exam score and, if necessary, will provide retest instructions.
State Certification Status
- After you take the exam you may monitor the certification search page for your state certification status. http://www.dshs.state.tx.us/emstraumasystems/NewCert.shtm The web page will not show your exam score. It will provide state application status information, such as "Certified" if you pass the exam AND all requirements have been met, or "Pending deficiencies" if there are deficiencies on your state application. The state office will not receive notice of your NR deficiencies. NR will contact you directly.
- If you have questions about your state application deficencies, please contact our office at 512-834-6700.
- If you have questions on exam content, grade subscales or additional copies of grade reports, contact National Registry.
- If you need an exam accommodation, you will be required to submit a separate request to the NR office. You will be required to meet the NR policy requirements for exam accommodations.
- You can expect to receive your Texas certificate/license and ID card approximately four to six weeks after submitting your COMPLETED state application form, if all requirements are met. If your application is incomplete, your certification will be delayed. You will be notified in writting by EMS Certfication.
- You can monitor your state certification status online: Check cerification status
- If you have questions about your state certification/license status, you may contact us at firstname.lastname@example.org; 512-834-6700 (phone); or 512-834-6714 (fax).
- Written correspondence can be mailed to: Department of State Health Services, Attn: EMS, MC2003, PO Box 149347, Austin, Texas 78714-9347.
Email comments & questions