Texas has five levels of certification. The highest is Licensed Paramedic, followed by EMT-Paramedic, Advanced EMT, EMT-Basic and Emergency Care Attendant (ECA).

To view EMS certification/licensure rules and policies, visit the Texas Department of State Health Services Rules/Policies page.

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 for information on available EMS courses.

Requirements

  • You must be at least 18 years old
  • Have a high school diploma or GED cerfificate
  • Successfully complete a DSHS approved EMS training course
  • Submit a completed EMS Personnel Certification application and fee
  • Pass the National Registry exam
  • Submit fingerprints for Texas/FBI criminal history check
  • Paramedic licensure applicants 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. See equivalency.

For further information, visit the Texas Department of State Health Services.

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