Emergency Health Services

Certification and Patient Care Standards Overview

Certification and Patient Care Standards (CPCS) of Emergency Health Services is responsible for the Advanced Emergency Medical Care Assistants (AEMCA), Advanced Care Paramedics (ACP) and Aeromedical theory examinations.

In addition, CPCS monitors changes in pre-hospital emergency patient care practices and equipment, maintains paramedic practice standards, and develops training bulletins and other reference materials that direct paramedic practice.

Paramedics in Ontario

In order to perform controlled acts and other advanced medical procedures in Ontario, a paramedic must:

  • have the appropriate certificate from the Ministry of Health and Long-Term Care (MOHLTC);
  • be employed by a certified ambulance service; and
  • be authorized by the medical director of an Ontario regional base hospital program.


There are three levels of paramedic in Ontario; Primary Care Paramedic (PCP), Advanced Care Paramedic (ACP) and Critical Care Paramedic (CCP). Specific controlled acts for the various levels of paramedics are listed in the Schedules of Ontario Regulation 257/00 as made under the Ambulance Act.

The Ministry of Training, Colleges and Universities sets the program standards for PCP and ACP paramedic training programs. A list of approved colleges and training institutions that offer PCP and ACP training programs can be found on the Paramedic Training Programs page. Contact the training institution directly to obtain information on admission and program requirements.

Aerophysiology (flight paramedic training program) and CCP training is offered by Ornge. Please contact Ornge directly for more information on admission and program requirements for these programs.

Training outside of Ontario

If you have received paramedic training or other medical training outside of Ontario and wish to become a paramedic in Ontario, please see the information under Labour Mobility and Equivalency in Ontario.


If you have successfully completed a PCP, ACP or Aerophysiology training program from an approved college or training institution in Ontario, you may be eligible to apply to the applicable theory examination.

The Prehospital Emergency Care Syllabus provides a synopsis of the theory base and the performance skills from which entry-to-practice PCP candidates are evaluated on the provincial AEMCA examination.

You can only apply to the ACP and Aeromedical theory examinations if you already hold an AEMCA certificate. Visit exam dates and application packages for theory examinations.

The CCP examination is offered through Ornge.

Certificate Copies

A replacement of your original certificate can be obtained for a fee. Please note that the name that appears on your certificate will be exactly as you had recorded it when you originally applied to the exam. Should you require a name change, please specify this in writing with your request and provide a copy of official documentation (e.g. a marriage license) to support the change in name.

AEMCA or Emergency Medical Care Assistant (EMCA) Certificate

$60.00 original
$30.00 photocopy

ACP Certificate

$25.00 original
$15.00 photocopy

Aeromedical Certificate

$25.00 original
$15.00 photocopy

Please make your request in writing and include a certified cheque or money order payable to the Minister of Finance and include your current contact information. Please forward your request and administration fee to CPCS.


Individuals should refer to the qualifications required by Ontario Regulation 257/00 Part III 6-8 to be employed in Ontario as a paramedic. Certified ambulance services in Ontario are regulated by MOHLTC under the authority of the Ambulance Act and its regulations. All applications for employment should be made directly to the services in which you are interested.

For paramedics or other healthcare professionals, who obtained their training outside of Ontario, and are looking for employment, please see the information under Labour Mobility and Equivalency in Ontario.

Return to Practice in Ontario

MOHLTC AEMCA, ACP and Aeromedical certificates do not expire; however there are maintenance of certification requirements with respect to employment and base hospital certification in order to be recognized as a PCP, ACP or flight paramedic in Ontario.

Prior to your return to practice as a paramedic following an extended leave, you may need to familiarize yourself with updated patient care standards that have been released since you graduated from your paramedic training program and/or discontinued practice.

Contact Us

Mailing Address:
Ministry of Health and Long-Term Care
Certification and Patient Care Standards
5700 Yonge Street, 6th Floor
Toronto, ON M2M 4K5

Phone: 416-327-7900
Fax: 416-327-7911
Email: CertificationExams@ontario.ca

For More Information

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

Tel : 1-800-461-6431 (Toll-free in Ontario only)
In Toronto : (416) 327-7900
Fax: : 416-327-7911
Email : websitecontact.moh@ontario.ca


Call ServiceOntario, Infoline at:
1-866-532-3161 (Toll-free in Ontario only)
TTY 1-800-387-5559.
In Toronto, TTY 416-327-4282
Hours of operation : 8:30am - 5:00pm

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