Emergency Medical System (EMS) - Forms


Trauma Designation

Hospital Trauma Center Designation application can now be completed online at: https://nevada.imagetrendlicense.com/lms/public/portal#/login

    EMS Personnel Change of Address or Information Form

    Emergency Medical System (EMS) - Certification and Licensure


    EMS Provider New Expiration Dates Effective September 1, 2023

    Effective September 1, 2023, the Nevada EMS Program is implementing new expiration dates for Nevada EMS certifications and licensure. With guidance from the Nevada EMS Advisory Committee in conjunction with a survey that was sent to EMS agency directors, new expiration dates will correspond with each individual provider’s date of birth not to exceed a two year period. This will not impact current providers expiration dates until providers complete and are issued an initial, renewal or reciprocal EMS application on or after September 1, 2023. Any new provider applicants applying on or after September 1, 2023, will automatically receive an expiration date corresponding with their date of birth. Please contact the State of Nevada EMS office at HealthEMS@health.nv.gov with any questions.

      Certification and Licensing Forms

      The Nevada EMS Program is requiring EMS Providers to complete all applications for certification and licensure through the State Online Application Portal (SOAP) at: https://nevada.imagetrendlicense.com/portal#/login 

      To renew your Nevada EMS certification, you will need to provide evidence that you have completed the requirements for renewal. You must upload your CPR card, continuing education units (CEUs) and a skills verification to your online renewal application. Paramedics must upload their current ACLS, PALS, and ITLS or PHTLS cards in the same fashion.  If you are licensed as an Ambulance Attendant, it will also be necessary for you to renew your license when you renew your certification.

      CURRENT FEE SCHEDULE

      • Certification renewal - $24.00
      • Certification and Attendant License renewal - $34.00
      • Instructor Endorsement Renewal is an additional - $15.00
      • Certification Late Renewal fee - $50.00
      • Attendant License Late Renewal fee - $50.00
      If you experience issues accessing your SOAP account, email the Nevada EMS office at HealthEMS@health.nv.gov and our office will assist you. 

      Reciprocal Certification for Out of State Providers