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

Distance CME powered by Relias, offers continuing education courses for Washington Paramedics, EMTs, and EMRs that are nationally accredited by CECBEMS/CAPCE and the PA DOH BEMS. In addition, Distance CME is accepted by the National Registry as an F-5 VILT course, and are accepted hour for hour. Take the entire 48-hour refresher, 24-hour Refresher, NCCP/NCCR, or Critical Care courses 100% online and your hours count just like they would if you were sitting in a classroom in front of an instructor. Eliminate travel and sitting in classes taking time off 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.

Washington State Department of Health Office of Emergency Medical and Trauma Prevention Requirements

Washington licensees must renew every 3 years.  WAC 246-976-144.

Requirements for Paramedics:

150 hours of CME every three years.  WAC 246-976-163. Enroll in our Paramedic Recertification Bundle to fulfill these requirements. This course also includes access to our Anytime CEU Program.


Requirements for AEMTs:

60 hours of CME every three years.  WAC 246-976-163. Enroll in our ALS NCCP + Anytime refresher course to fulfill these requirements.


Requirements for EMTs:

30 hours of CME every three years.  WAC 246-976-163. Enroll in our BLS NCCP + Anytime refresher course to fulfill these requirements.


Requirements for EMRs:

15 hours of CME every three years.  WAC 246-976-163. Enroll in our 18 Hour NREMR Refresher course to fulfill these requirements.


For more information visit: The Washington State Department of Health Office of Emergency Medical and Trauma Prevention

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