Emergency Medical Services Agency

The Emergency Medical Services Agency (EMSA) provides oversight for the Emergency Medical Services System in San Francisco. We direct, plan, monitor, and evaluate the San Francisco EMS System in collaboration with system and community providers.

Emergency Medical Services Agency

Yellow automated external defibrillator (AED) on blue background

Community CPR initiative

Save lives through CPR and proper use of Automated External Defibrillators (AEDs).Learn more

Policies and protocols for ambulance medical services

View our current policies and protocols for ambulance medical services in San Francisco.

Announcements and updates

Review the latest information from the Emergency Medical Services Agency.

Find or register an AED in San Francisco

Find Automated External Defibrillators (AEDs) in SF, register a new AED, and report on usage.

Calendar

Full calendar

PAST CALENDAR

May 20

May20

Event

2025 EMS Awards Ceremony

Tuesday, May 20, 2025

1:00 pm

May 21

May21

Event

2024 EMS Awards Ceremony

Tuesday, May 21, 2024

10:00 am

Services

Get certified as an EMT: Start here

Get certified as a new EMT in San Francisco

Get your initial certification to work as an Emergency Medical Technician.

Renew your certification as an EMT in San Francisco

Get your certification as an Emergency Medical Technician renewed.

Review additional information for EMT certification

Complete a background check for EMT certification

To get certified as an EMT in San Francisco, get fingerprinted for a background check.

Submit your application for an EMT license or renewal

Fill out and send in your application for EMT certification in San Francisco.

Get accredited as a paramedic

Get accredited as a paramedic in San Francisco

Get a new accreditation, or re-accreditation, to work as a paramedic.

Create an event medical plan

Submit a medical plan and have emergency medical resources for your special event.

Submit an emergency medical plan for your special event

Gather event details and medical resources, and create your plan.

Other services

Tell us about an incident involving an ambulance

If something happened while in paramedic or EMT care, let us know by email, in person, mail, or over the phone.

Get life saving CPR training for your group

Community CPR initiative

Save lives through CPR and proper use of Automated External Defibrillators (AEDs).Learn more

Resources

Resources from EMSA

Permitted ambulance providers

See the only ambulance providers approved in San Francisco and each of their capabilities.

Where to get training as an EMT or paramedic in San Francisco

Find out where to get training for your initial or renewal certification or accreditation, or to further your knowledge within EMS.

EMSA Learning Resource Center

An e-learning website from EMSA offering free CE credits. Available now: TAD, Burn Care, Stroke, and more!

EMSA Community Paramedicine and Triage to Alternate Destination information

Review the latest information from the Emergency Medical Services Agency regarding Community Paramedicine (CP) and Triage to Alternate Destination (TAD) Certification application and renewal.

Get answers about EMS care from a specialty advisor

EMSA Announcements and Updates

Review the latest information from the Emergency Medical Services Agency.

2016 Trauma Retriage Guideline

2016 Trauma Retriage Guideline from EMSA

LVO Stroke Retriage Guideline April 2022

Guideline for Large Vessel Occlusion (LVO) Retriage from EMSA.

Emergency Medical Services Data and Reports

This website shows all the public facing data available regarding Emergency Medical Services in San Francisco.

Protocols and policies for emergency medical services

See all policy documents for emergency medical services in San Francisco.

Find or register an AED in San Francisco

Resources from external sources

Health Alerts for health care providers from the San Francisco Department of Public Health

SF Department of Public Health sends out health alerts regarding communicable disease prevention and control

Emergency Preparedness from SF72

SF72.org City Now provides real time information during a special event or emergency.

Neighborhood Emergency Response Team (NERT)

NERT is a free training program for individuals, neighborhood groups and community-based organizations in SF.

Cal OES California Governor's Office of Emergency Services

About

We direct, plan, monitor, and evaluate the San Francisco EMS System in collaboration with system and community providers. We provide oversight of dispatchers, first responders, emergency medical technicians, paramedics, and receiving facilities.

Have a suggestion for EMS Policy or Protocol changes? We have a new form you can use to submit your ideas.

If you are interested in providing feedback to our agency in an effort to improve the San Francisco EMS System, submit your comment via the EMSA Public Feedback Form.