Fulfill your Paramedic, EMT, and EMR state requirements in one place.

Distance CME, powered by Relias, offers continuing education and licensure courses for Arizona Paramedics, EMTs, and EMRs that are nationally accredited by CECBEMS/CAPCE and the PA DOH BEMS. In addition, Distance CME are accepted by the National Registry as an F-5 VILT course and are accepted hour for hour. Take the entire 48-hour, or 24-hour Refresher courses 100% online and your 48 or 24 hours count just like they would if you were sitting in a classroom in front of an instructor. Eliminate time traveling to classes and being away from work.

Plus, Distance CME now accepts payments by PayPal Credit. Get approved today and pay for courses over time, interest free for the first 6 months.

Although we strive to keep everything updated Please check with your state EMS Representative for the most current re-certification information.

National Continued Competency Program (NCCP) to maintain NREMT certification and Alabama state licenses.

Arizona Department of Health Services, Bureau of EMS & Trauma System Requirements 

Arizona Emergency Medical Care Technicians (EMCT) certifications expire every 2 years from the date of initial issuance. AAC R9-25-401(C). For EMCT recertification, an applicant shall submit one of the following:

  • Certificate of course completion of an applicable refresher course or refresher challenge examination OR
  • Documentation of current registration in a national certification organization OR
  • Completion of continuing education hours as listed below. AAC Rg-25-404(C).

Requirements for Paramedics, EMT-I(99) (Intermediate), or AEMT:

48 hours to include a minimum of five hours in pediatric emergency every two years. AAC R9-25-404(C)(3)(c)(i) or (ii). Enroll in our 48 Hour Live Paramedic Refresher refresher course to fulfill these requirements.


Requirements for EMT:

24 hours to include a minimum of five hours in pediatric emergency every two years. AAC R9-25-404(C)(3)(c)(i) or (ii). Enroll in our BLS NCCP + Anytime refresher course to fulfill these requirements.


For more information visit: The Arizona Department of Health Services, Bureau of EMS & Trauma System

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