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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.
The Texas Department of State Health Services (DSHS) uses the National Registry Assessment Exam as the state-approved exam.
• You will be responsible for scheduling an exam with National Registry at www.nremt.org.
• In addition to the state application fee, you will be required to pay a testing fee to National Registry.
• If you fail the exam, you can not gain certification through another option.
• If you fail the exam, you will be given opportunities to retake the exam.