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.

Are you an EMT or Paramedic? We value your feedback. Take five minutes to share your training needs with us.

The nomination form for award recipients of the 2025 EMS Awards is now live. Nominate someone today using the official submission form. Nominations are due by February 1, 2025.

Yellow automated external defibrillator (AED) on blue background

Community CPR initiative

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

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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.

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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

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San Francisco EMS Awardees Recognized For Excellence In Emergency Medical Services During National EMS Week

May 21, 2024

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

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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 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.

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 Services Data and Reports

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

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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.

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.