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

DistanceCME offers continuing education and relicensure courses for Texas Paramedics, AEMTs, EMTs, and EMRs that are CAPCE accredited and NREMT approved . DistanceCME courses are accepted by the National Registry as an F-5 VILT course hour for hour. Take all your recertification hours 100% online and they 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.

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

Texas Department of State Health Services Bureau of Emergency Management EMS Requirements

Texas Emergency Medical Care Personnel certifications expire every four years. 25 TAC §157.34(a)(4)(A). For recertification, an application shall submit one of the following:

  • Examination using the National Registry Assessment Exam
  • Continuing education
  • Documentation of current registration with the National Registry
  • Complete a formal recertification course

Covid – 19 Updates

In this unprecedented time, states and the NREMT are trying to update policies to keep us safe while retaining the levels of education and certification. Please check with your state to ensure you have the most up-to-date requirements.

Requirements for Paramedic:

144 hours every four years. 25 TAC §157.38(c). DistanceCME recommends this program 48 Hour EMS Refresher + Anytime 


Requirements for AEMT:

108 hours every four years. 25 TAC §157.38(c). DistanceCME recommends this program 48 Hour EMS Refresher + Anytime


Requirements for EMT:

72 hours every four years. 25 TAC §157.38(c). DistanceCME recommends this program  BLS NCCP + Anytime 


Requirements for ECA:

36 hours every four years. 25 TAC §157.38(c). DistanceCME recommends these programs 18 Hour NREMR Refresher and Anytime


For more information visit: The Department of State Health Services Bureau of Emergency Management EMS

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