EMS Exam Information

This information is to assist you in scheduling your EMS certification or licensing exam. All testing for ECA, EMT, Advanced EMT and paramedic certification/licensure will be done through National Registry of Emergency Medical Technicians at Pearson VUE testing sites.

• All education programs and students must register with NREMT at www.nremt.org.
• Pearson VUE is a separate entity that has an agreement with NREMT to give the exams. 
• The Authorization to Test (ATT) is your permission slip to contact Pearson VUE to schedule your exam. 
• Coordinators should issue students an individual course completion certificate;
• Certificates are audited as needed by DSHS.  
• Course completion certificate information is needed to apply with DSHS. 
  • DSHS course number 
  • Completion date 
• The ECA and EMT practical (skills) testing are part of the education course.   
• National Registry representatives are still needed for advanced practical exams. 
• To schedule the exam, have the program name and program number assigned to your registration program by NREMT. 

Texas EMS Renewal Candidates

Written Exam Option

• The written exam option is still available. 

• This assessment exam will be a CBT exam as well. 
•  The  exam is developed for DSHS by NREMT and follows the same process for the other CBT exams.
• Create your account, and choose assessment exam.  
• Exam results will be reported directly to DSHS.
• Visit the NREMT webpage or call the NREMT at 614-888-4484.