Part of Department of Emergency Management

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.

The Community Paramedic (CP) Accreditation Application is now live
The Triage to Alternate Destination (TAD) Paramedic Accreditation Application is now live
The Triage to Alternate Destination Training is now live. Be sure to complete the training before submitting your TAD Accreditation Application.
How to Access the EMSA Learning Resource Center and TAD Training
EMSA Memo: Community Paramedicine and Triage to Alternate Destination Requirements (released August 18, 2023)
Wondering if you can transport if you're still awaiting your TAD Accreditation Card?
Have questions? Most questions can be answered by reviewing the EMSA Memo linked above. If additional questions arise:
- For TAD Training questions, contact erin.bachus@sfgov.org
- For questions related to Accreditation Applications, please contact emsacertifications@sfgov.org

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.

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

Set up a Microsoft account, 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

News

SF EMS Awardees Recognized for Excellence in Emergency Medical Services

May 25, 2023

San Francisco Fire Launches Prehospital Buprenorphine Program to Combat Opioid Epidemic

March 31, 2023

San Francisco EMS Agency Honored for Innovation in Public Health ***Press Release***

September 26, 2022

See more news

Events

There are no upcoming events right now.

View past events

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.

Get answers about EMS care from a specialty advisor

EMSA Announcements and Updates

Review the latest information from the Emergency Medical Services Agency.

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

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 Response Data Dashboards

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