EMS Education Programs


All EMS Personnel (ECA, EMT, AEMT, EMTP, and LICENSED PARAMEDIC) renewal applicants must complete an EMS jurisprudence examination approved by the Department before submitting a renewal application. An EMS jurisprudence examination is a CE course covering information about Texas EMS Laws and Rules. The EMS jurisprudence examination is offered by Department approved continuing education (CE) programs. If you are employed or volunteer with an EMS talk to your administrator or director they may direct you to a CE program or for a list of CE programs offering the EMS jurisprudence examination can be found below under Jurisprudence Exam Material.

Rules and Policies

Links to Texas Administrative Code Pages


Apply Online

Forms and Documents

Coordinator / Instructor


Initial Education Programs

Continuing Education Programs

Jurisprudence Exam Material

Cover Sheets

EMS Education Manual and Skill sheets

Interim Skill Sheets

Skills Criteria and Score Sheets


Program and Course Fee Information

NREMT Information

NREMT National Continued Competency Program (NCCP)

NCCP model streamlines the CE recertification process into three strategic categories of continuing education: National, Local, and Individual.

NREMT Transition Course Information

NREMT Portfolio & Scenario Exam Information

NREMT Information/ Pass Rates / NREMT Representative Contact Information

Additional Resources

National Education Standards and Instructional Guidelines

Current release of National Education Standards and Instructional Guidelines all levels.

Note - On August 16, 2012, DSHS adopted the use of the National EMS Education Standards and Instructional Guidelines replacing the use of DOT National Standard Curriculum.  Remember, Texas ECA  courses use the EMR Standards/Guidelines with additional requirement in EMS rule; Texas Intermediate courses use the AEMT Standards/Guidelines with additional requirements in EMS rule.

CAAHEP/CoAEMSP and Paramedic Program Accreditation Information


Disability Accommodation Information

  • Disability Accommodation Request-If you are taking the National Registry (NR) exam, you must make an accommodation request to the NR office: www.nremt.org

Open Records



  • To ensure timely response to your education questions and needs please contact your DSHS Regional office at the numbers listed below:
    North Unit: 817-264-4720
    Central Unit: 512-834-6700
    South Unit: 210-949-2050
    East Unit: 713-767-3331


  • For help with EMS education programs and course approvals contact the EMS Education Unit at EMSEducation@dshs.texas.gov
  • For help with EMS Instructor, Coordinator and Information Operator certifications contact the EMS Certification Unit at EMSCert@dshs.texas.gov.

Last updated July 29, 2020