<p>Recertification/relicensure options:</p><p>On the application form, select one renewal procedure from the four available options.</p><p>Option 1 - Examination • The Texas Department of State Health Services (DSHS) is using the National Registry Assessment Exam as the state-approved exam. • You will be responsible for scheduling an exam with National Registry atwww.nremt.org. • In addition to the state application fee, you will be required to pay a testing fee to National Registry. Volunteers are not exempt from NR testing fees. • You MUST make a passing score of at least 70 percent. • If you fail the exam, you cannot gain certification through another option. • If you fail the exam, you will be given opportunities to retake the exam. Option 2 - Continuing Education • Submit application as directed above. • CE must: - be preapproved and in specified content areas - meet minimum hours in content areas and meet total required for four- year period. - As of 9/1/02, reporting CE is no longer required (unless selected for audit). • CE participation/record keeping is your responsibility. You must maintain all CE records for five years. Your records may be audited. </p><p>Option 3 - National Registry • Submit application as directed above. • You must hold current NR certification at the time of renewing your Texas certificate. • You must include your NR number and expiration date on your Renewal application.</p><p>Option 4 - Formal Recertification Course • Submit application as directed above. • Complete course anytime during the 4 year certification period. • Minimum contact hours for course are as follows: ECA - 36; EMT - 72; EMT-I - 108; EMT-P and Licensed Paramedic - 144</p><p>Skip to content 3 EMS &Trauma Systems Home Search EMS Designation EMS Personnel EMS Agencies (Providers) Funding Sources Governor's EMS & Trauma Advisory Council Line of Duty Deaths Medical Advisory Board Out-Of-Hospital DNR Regional Advisory Councils Texas EMS Conference Texas EMS Trauma News Texas Trauma Registry   Reference Center</p><p>Apply Online DSHS Regulatory Philosophy (40kb pdf)</p><p> Home >  EMS-Trauma Systems >  Recertification course hour and content area requirements Recertification course hour and content area requirements</p><p>ECA EMT EMT-I EMT-P </p><p>Preparatory 3 6 9 12</p><p>Airway Mgmt/Ventilation 3 6 9 12</p><p>Patient Assessment 2 4 6 8</p><p>Trauma 3 6 9 12</p><p>Medical 9 18 27 36</p><p>Special Considerations 3 6 9 12</p><p>Clinically Related Operations 1 2 3 4</p><p>Pediatric 3 6 9 12</p><p>Minimum units in content areas 9 18 27 108</p><p>Additional units in any approved category 9 18 27 36</p><p>Total required for recertification eligibility 36 72 108 144</p><p>Content Areas</p>