If you have just completed or are currently enrolled in a full EMR education program, and you are applying for Nationally Registry EMR certification, you must meet the following requirements:
  • Successful completion of a state-approved Emergency Medical Responder (EMR) course that meets or exceeds the National Emergency Medical Services Education Standards for the Emergency Medical Responder.
  • Candidates must have completed the course within the past two years and the course Program Director must verify successful course completion on the National Registry website.
    • Have a current CPR-BLS for "Healthcare Provider" or equivalent credential.
    • Successful completion of the National Registry EMR cognitive (knowledge) examination and a state approved psychomotor (skills) examination.
      • Passed portions of the cognitive and psychomotor exam remain valid for 24 months provided all other other eligibility requirements are met.
      • Some states integrate the EMR psychomotor exam into the EMR course. Candidates should contact their State EMS Office or course instructor for guidance on their local psychomotor exam requirements.
Follow these easy steps to apply for a National Registry exam:
  1. Create your account/log in to your profile.
  2. Create an application - Select the EMR level. Verify your personal information and make any necessary changes. Then, follow the prompts through the application process.
  3. Pay the application fee. The application fee is non-transferable and non refundable. This fee is charged for each attempt of the cognitive examination.
  4. Monitor the progress of your application from your “Certification Application Status” in case additional actions are needed. Once the National Registry approves your application and your status is “Ready to Test,” you can view your ATT letter and contact Pearson Vue to schedule your exam.

Nationally Registered Emergency Medical Responders (EMRs) must notify the National Registry within 30 days
regarding the following matters:
  • Change in mailing address (the best way to update a mailing address is by editing the user profile page)
  • Any criminal conviction.
  • Disciplinary action taken by any state has resulted in suspension, revocation, or expiration of state
    registration/licensure; termination of right to practice; voluntary surrender of state registration/licensure while under investigation.
  • The National Registry considers the individual to be solely responsible for their certification.

The National Registry has disciplinary procedures, rights of appeal and due process within its policies. Complete information about the National Registry Disciplinary Policy and Rights of Appeal can be found here.


The National Registry complies with the Americans with Disabilities Act (ADA) of 1990 and offers reasonable accommodations for individuals with disabilities. Pearson VUE test centers are also ADA compliant. Complete information about the National Registry Accommodations Disability Policy can be found here.
Initial expiration dates are determined by the date the candidate successfully completes the entire national certification process (cognitive and psychomotor exams). EMR candidates completing the national certification process between the January 1 and June 30 will receive an expiration date of September 30 two years in the future. Individuals successfully completing the national certification process between July 1 and December 31 will receive an expiration date of September 30 three years in the future.
 


Initial Certification

If you successfully complete the national certification process between:

January 1-June 30
July 1-December 31


Initial Cycle

Your initial certification date will be September 30:

2 years in the future
3 years in the future