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Paramedic Equivalency Process
Standard PCP Equivalency
Standard ACP Equivalency
AIT Equivalency
Q&A - Equivalency
Education Contacts
Paramedic Courses

Standard ACP Equivalency

Phase 1 – Documentation

Candidates applying for Standard-ACP Equivalency must already hold AEMCA certification. Candidates without an AEMCA certificate will have to successfully complete the Standard-PCP Equivalency Process prior to applying to the Standard-ACP Equivalency Process.

Candidates applying for Standard-ACP Equivalency must forward the following documentation to the Education and Patient Care Section of Emergency Health Services Branch :

  • Administrative fee in the amount of $50.00 made payable to the Minister of Finance in the form of a certified cheque or money order. Personal cheques are not accepted
  • Letter from Ambulance Manager/Supervisor confirming – must be on official letterhead
    • Minimum of 450 hours of Land Ambulance Time
    • Quality of Work and/or Recommendation
  • Original copy of College Paramedic Certificate
  • Original copy of AEMCA Certificate
  • Resume of education and experience in the pre-hospital field
  • Official Educational Transcript(s) – must be on official, secure paper
  • Copy of Course Outlines/Curriculums for the year(s) in which you attended – must include course objectives
Phase 2 - Qualifying Evaluations

Once a candidate successfully completes Phase 1, they must complete a selection of qualifying evaluations to determine their knowledge and skills for pre-hospital care in Ontario. These evaluations include :

  • Advanced Care Paramedic (ACP) Theory Examination (Administration Fee: $50.00)
  • Simulated Patient Care Scenarios Testing
    The patient care scenarios are simulated ambulance calls where a pre-programmed “patient” presents with a chief complaint, signs and symptoms that a candidate may encounter during their employment as an Advanced Care Paramedic. Candidates must successfully complete each of the four (4) scenarios.
  • Skill Stations Testing
    Candidates will be assessed independently at each of the four (4) skill stations. Each station will be fifteen (15) minutes in length and are designed to assess the candidate’s knowledge and competency when performing specific advanced skills and procedures. The general areas assessed in the skill stations include :
    • airway and breathing;
    • cardiac monitoring and dysrhythmia interpretation;
    • labour and delivery/neonatal resuscitation;
    • advanced procedures (intraosseus infusions, surgical airway, needle thoracostomy).

Upon successful completion of Qualifying Testing, a candidate is considered to have “equivalent” training for the purpose of Regulation 257/00, Part III 8. (2)(b) made under the Ambulance Act and is eligible to write the MOHLTC ACP Theory Examination. Successful candidates will be provided with a registration package for the MOHLTC ACP Theory Examination. Upon successful completion of the MOHLTC ACP Theory Examination, the candidate will be issued an Advanced Care Paramedic certificate.

For more information, see the Paramedic Equivalency Question and Answers page or contact the equivalency liaison

For more information

Emergency Health Services Branch
5700 Yonge Street, 6th Floor
Toronto, Ontario
Canada     M2M 4K5

Tel : 1-800-461-6431 (Toll-free in Ontario only)
Fax : 416-327-7911
Email :

Call the ministry INFOline at 1-866-532-3161
(Toll-free in Ontario only)
TTY 1-800-387-5559
Hours of operation : 8:30am - 5:00pm
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