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Paramedic Accreditation

Emergency Medical Services

Paramedics must hold San Mateo County EMS accreditation before practicing within the County’s 9-1-1 EMS system. The Online Certification and Accreditation System is used for initial accreditation, re-accreditation and management of the credentials required throughout the accreditation period.

Before applying: Review EMS Policy 302 – Paramedic Accreditation for eligibility, documentation, local orientation and ongoing requirements.

Initial Accreditation

Eligibility

Applicants must:

  • Hold a current California paramedic license.
  • Be employed as a paramedic by a designated San Mateo County 9-1-1 EMS advanced life support (ALS) provider, such as AMR or a fire-service ALS provider, or by the EMS Agency.
  • Hold a current American Heart Association or American Red Cross BLS Provider CPR certification. This is the only CPR certification accepted.

Only individuals accredited by San Mateo County EMS may practice as paramedics within the County’s EMS system.

Required Documents

Prepare electronic copies of:

  • Current government-issued photo identification.
  • Current California paramedic license.
  • Current American Heart Association or American Red Cross BLS Provider CPR certification.
  • Current American Heart Association Advanced Cardiovascular Life Support (ACLS) or American Red Cross Advanced Life Support (ALS) certification.
  • Current Pediatric Advanced Life Support (PALS) or Pediatric Education for Prehospital Professionals (PEPP) certification.
  • Current Prehospital Trauma Life Support (PHTLS) or International Trauma Life Support (ITLS) certification.
  • Court records, police reports or other disclosure documents, if requested during the application process.

A current and valid ITLS certification will be accepted for six months from the date the application is received. Under EMS Policy 302 – Paramedic Accreditation, all accredited paramedics must complete and maintain PHTLS certification.

Incomplete applications will not be processed.

How to Apply

  1. Sign in to the Online Certification and Accreditation System (ImageTrend). Under “Applications,” select the Paramedic Accreditation application.
  2. Upload all required documents and pay the applicable fee.
  3. Complete the required San Mateo County EMS orientation and any applicable training or testing on local policies, treatment protocols, communications, destination policies and scope of practice.

Apply Now

Open Online Certification and Accreditation System    →

San Mateo County EMS will issue accreditation after confirming that the applicant meets County requirements and the requirements of California Code of Regulations, Title 22, Division 9, §100094.02.

 

Maintaining Accreditation

Maintain your supporting documents. Keep your government-issued identification, California paramedic license, BLS, ACLS, PALS or PEPP, and trauma credentials current throughout the accreditation period. Use the same Online Certification and Accreditation System used for your application whenever a document needs to be updated or replaced.

 

Re-accreditation

Within 30 calendar days after renewing your California paramedic license, sign in to the Online Certification and Accreditation System (ImageTrend) and select the Paramedic Accreditation application under “Applications.” Submit the County application only after the renewed state license has been issued.

San Mateo County EMS verifies and authorizes continued accreditation every two years. The accreditation period coincides with the effective period of the California paramedic license.

Apply Now

Open Online Certification and Accreditation System    →

Forms and Resources

Use these resources to review accreditation requirements and manage your initial accreditation or re-accreditation online.

Form or resource Purpose
EMS Policy 302 – Paramedic Accreditation Review eligibility, required credentials, local orientation and ongoing accreditation requirements before applying.
Online Certification and Accreditation System (ImageTrend) Submit a Paramedic Accreditation application, upload credentials, track status and maintain current supporting documents.

Questions or application assistance

Email EMSCertifications@smcgov.org or call 650-573-2564.