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1901 West Irving Boulevard, Irving, Texas 75061, United States


Elite EMT Academy

Welcome future Emergency Medical Technicians & EMS professionals!

Texas Department of State Health Services Requirements

Application and exam process

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 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.


  • You must be at least 18 years old 
  • Have a high school diploma or GED certificate 
  • 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.


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
        • 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.