EMS Reciprocity Certification

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* New policy changes effective 7/20/2011*

According to Policy P2001-A, effective 7/20/2011, reciprocity applicants must hold a valid and current EMS personnel certification issued by another state or U.S. Territory. Click to view Policy P2001-A.


 

Quick links

Out of-State applicants  
Military applicants
Paramedic licensure applicants  

 


Out of-State applicants

An out-of-state certified emergency medical services (EMS) person may apply for Texas certification by reciprocity. Persons with Emergency Care Attendant (ECA); First Responder (FR) or Emergency Medical Responder (EMR) are not eligible for Texas Reciprocity

Eligibility for a full four-year Texas EMS certificate is contingent upon:

Verification of a current EMS certification from another state or US territory

  • Submit an Out of State Verification Form A, completed by EACH state you currently hold or have ever held certification in. 
  • Applicants seeking reciprocity at the EMT-I level must have training (verifiable by the certifying state agency) that includes alternative airway intubation devices, and IV initiation as required for EMT-I certification in Texas. 

Age

  • You must be at least 18 years old

Completion of an EMS Personnel Reciprocity Certification Application and fee

  • Apply Online

  • Submit completed reciprocity application and nonrefundable administrative fee to: 
        EMS Certification & Licensing Group, Department of State  Health Services,   
        Cash Receipts Branch, MC 2003,  P.O. Box 149347, Austin, Texas 78714-9347.

Criminal history background verification

  • All applicants will be required to undergo an FBI fingerprint criminal history check using L-1 Identity Solutions.
  • Submit fingerprints through the Fingerprint Applicant Services of Texas (FAST) form.
  • Schedule fingerprinting through L-1 Identity Solutions Locations
    • The FAST Pass form includes instructions for scheduling an appointment with L-1 Identity Solutions, or you may visit their website. Any fees associated with this process will be your responsibility.
  • If you are unable to go to the L-1 solution site please contact EMS Compliance and Quality Assurance at: 512/834-6700, to receive a hard copy fingerprint card. Please note this will delay our agency receiving your results up to several weeks and requires a law enforcement agency to process your prints.

Current National Registry certification or passing the National Registry assessment exam

  • Applicants without a current National Registry (NR) certification must contact the NR to take their Assessment exam for the State of Texas.  Applicants will not be approved to take the NR Assessment exam until the department has received an reciprocity application, fees, and verified you have a current EMS certification from another state or US territory. 


 

Military Applicants

Current military service members, military veterans, and military spouses who received emergency medical technician (EMT) training in the military and have a current National Registry certification are eligible for a Texas EMT certification.  Military service members, military veterans, and military spouses shall follow the same application process as Out of State/Reciprocity applicants because Military courses are not Texas approved/certified courses; therefore, military course work and training is considered in the same manner as out of state courses.

Eligibility for a full four-year Texas EMS certificate is contingent upon:

Age

  • You must be at least 18 years old

Completion of an EMS Personnel Reciprocity Certification Application and fee

  • Submit completed reciprocity application and nonrefundable administrative fee to: 
        EMS Certification & Licensing Group, Department of State  Health Services,   
        Cash Receipts Branch, MC 2003,  P.O. Box 149347, Austin, Texas 78714-9347.

Criminal history background verification

  • All applicants will be required to undergo an FBI fingerprint criminal history check using L-1 Identity Solutions.
  • Submit fingerprints through the Fingerprint Applicant Services of Texas (FAST) form.
  • Schedule fingerprinting through L-1 Identity Solutions Locations
    • The FAST Pass form includes instructions for scheduling an appointment with L-1 Identity Solutions, or you may visit their website. Any fees associated with this process will be your responsibility.
  • If you are unable to go to the L-1 solution site please contact EMS Compliance and Quality Assurance at: 512/834-6700, to receive a hard copy fingerprint card. Please note this will delay our agency receiving your results up to several weeks and requires a law enforcement agency to process your prints.

 


 

Paramedic licensure applicants

A person currently certified or licensed as a paramedic in another state or US territory, who meets the department’s academic requirements may apply for paramedic licensure through reciprocity.  If you do not meet the academic requirements for licensure, you may be eligible for paramedic certification by reciprocity. 

Eligibility for a full four-year Texas EMS certificate is contingent upon:

Verification of a current Paramedic certification from another state or US territory

Age
  • You must be at least 18 years old

Completion of an EMS Personnel Reciprocity Certification Application and fee

  • Submit completed reciprocity application and nonrefundable administrative fee to: 
        EMS Certification & Licensing Group, Department of State  Health Services,   
        Cash Receipts Branch, MC 2003,  P.O. Box 149347, Austin, Texas 78714-9347.

College transcript or a copy of diploma that documents the academic requirements

  • You must possess the following academic requirements
    • an associate degree in EMS
    • a baccalaureate degree; or
    • a post graduate degree 
  • The degree must be from a school that is accredited by an agency recognized by the U.S. Department of Education as an approved accrediting authority.

Criminal history background verification

  • All applicants will be required to undergo an FBI fingerprint criminal history check using L-1 Identity Solutions.
  • Submit fingerprints through the Fingerprint Applicant Services of Texas (FAST) form.
  • Schedule fingerprinting through L-1 Identity Solutions Locations
    • The FAST Pass form includes instructions for scheduling an appointment with L-1 Identity Solutions, or you may visit their website. Any fees associated with this process will be your responsibility.
  • If you are unable to go to the L-1 solution site please contact EMS Compliance and Quality Assurance at: 512/834-6700, to receive a hard copy fingerprint card. Please note this will delay our agency receiving your results up to several weeks and requires a law enforcement agency to process your prints.
Current National Registry certification or passing the National Registry assessment exam
  • Applicants without a current National Registry (NR) certification must contact the NR to take their Assessment exam for the State of Texas.  Applicants will not be approved to take the NR Assessment exam until the department has received an EMS personnel out-of state application, fees, and verified you have a current EMS certification from another state or US territory.


 

Click here to read about how a criminal history may affect your eligibility for certification in Texas.


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Last updated June 06, 2014