How Do I Become an EMT in New Hampshire?

The Rundown of EMT Certification in New Hampshire:

Prospective EMT candidates, who wish to get EMT certification in New Hampshire, must pass an exam organized by the National Registry of Emergency Medical Technicians (NREMT). But, before this, they need to complete an EMT training program from a state-approved training college or institute. EMT certification in New Hampshire is valid for a period of two years only.

In regards to the NREMT exam, the candidate must pass the written exam, which is a test comprising around 70-120 questions that are required to be answered in 2 hours duration. This is an adjustable difficulty computerized exam. The exam includes topics, such as airway management, ventilation, oxygen therapy, EMS operations, cardiology, health emergencies, and general trauma. In the practical examination, a candidate’s capability to handle traumatic situations, such as fractures, bleeding, joint dislocations, etc., are tested. A candidate will also be tested on medical emergencies such as diabetic emergencies, strokes, cardiac arrest, etc. If a candidate fails in the examination, he/she can re-test for the next examination after 15 days. Six attempts can be made by the candidate to pass the exams successfully.

In case, you fail to renew your certificate before or by the expiration date, your certificate will be considered as involuntary inactive. If, after the expiration of the certificate, you fail to recertify it within 180 days, your certificate will get null and void, and you will have to undergo the entire certification cycle, again.

What are the Requirements to Get an EMT Certificate In New Hampshire?

Following are the pre-requisites that should be fulfilled by the EMT candidates:

  • EMT candidates must be 18 years of age or more.
  • He/she should have completed a state-approved EMT training program.
  • He/she must possess a valid CPR (Cardiopulmonary Resuscitation) certificate.
  • The candidate is required to qualify for the NREMT examination.
  • It is mandatory for the candidates to submit legal evidence of their U.S. nationality.
  • The candidate should be free from any mental or bodily ailment.
  • English fluency is a must for every applicant.
  • The candidate must compulsorily pass a criminal background screening.

Apart from this, there are some special requirements that are also required to be accomplished, like submission of application and applicable fees, and completion of a state-recognized practical exam.

What is the Process of EMT Certification?

Step 1: Get EMT Training

The candidate must successfully complete EMT training before applying for certification. The candidate can contact the local EMS department or any community college that provides training programs.

Step 2: Submit Application for National Certification

In order to get a national certification, a candidate has to appear for the National Registry of Emergency Medical Technicians (NREMT) exam. Once the candidate has attained the New Hampshire license, the submission of NREMT certification for recertification is not necessary. The state of New Hampshire makes use of the National Registry only for the purpose of examination. After obtaining the license, it is mandatory for the licensee to complete the Continuing Education (CE) training. If the candidate is nationally registered, he/she is not refrained from fulfilling the Continuing Education (CE) requirements in order to renew the New Hampshire license.

  • The candidate should start by creating an account on the NREMT website. Click on “Create New Account”.
  • Next, the candidate must create a new application by clicking on “Create Initial Entry Application”.
  • Now, the applicable fee must be paid by the candidate soon after completion of the online application. Though, the application fee can also be paid afterward.
  • After the candidate is done with the online application, he/she must keep a check on its progress by regularly looking for an “Authorization to Test” (ATT) Letter. This can be done by logging into the website through the password and username, and subsequently clicking on the option of “Check Initial Entry Application Status”.
  • The candidate’s details have been submitted by the website if “Submitted” appears beside “Course Completion Verification”, and therefore, it indicates that the approval of the course completion by the education program director is being awaited.
  • Whereas, if “Not Submitted” appears beside “Application Payment”, it clearly means that the candidate must pay the application fee before proceeding further.
  • After the application payment and confirmation by the education program director, the link “Print ATT Letter” will appear.
  • The candidate is required to take a printed copy of his/her ATT Letter and set a timetable for the NREMT exam.

The ATT Letter directs the candidate on scheduling the NREMT examination by using ‘Pearson VUE’ website.

Step 3: Protocol Exam

The next step is to appear for a Protocol examination, which includes the following steps:

  • Visit
  • Next, click on “eProEx” and carefully read out the instructions provided under “PLEASE READ FIRST”.
  • Following the guidelines, create an account. After that, you will get a confirmation email. In case, you don’t, then submit a ticket by clicking on the “Help Desk” on the homepage of the site.
  • As per directions, select the protocol exam of the appropriate level.
  • After taking the test, click on “Submit All and Finish”.
  • On completion, follow the guidelines given under the column of “Feedback”.
  • You will see the certification of being qualified for the exam. Save it.
  • You can take out the print, incase; your unit needs verification of the protocol test.

Step 4: Background Check

To complete the process of certification, the candidate must undergo a criminal background check. For this, the candidate can contact his/her course coordinator.

Step 5: License Application

Lastly, apply for the license by completing NH Bureau of EMS-EMS PROVIDER License Application. Remember, the following documents should be enclosed along with the application:

  • A copy of the scorecard of the Protocol Exam
  • Copies of EMT card
  • NH Scope of Practice Module Program(s) enclosed with a valid EMT license (the license should be verified by the personnel of the New Hampshire Bureau of Emergency Medical Services).

Correctly and completely filled application should be mailed to:

EMS Licensing Coordinator
33 Hazen Drive
Concord, New Hampshire- 03305

New Hampshire EMS Training Locations:

  • Dartmouth College
    Address: Hanover, New Hampshire- 03755
    Contact Number: 603-646-1110
    Official Website:
  • NHTI- Concord’s Community College
    Address: 31, College Drive, Concord, New Hampshire- 03301
    Contact Number: (603) 271-6484 / (800) 247-0179
    Official Website:
  • Keene State College
    Address: 229, Main Street, Keene, New Hampshire- 03435
    Contact Number: 603-358-2276
    Official Website:
  • Saint Anselm College
    Address: 100, Saint Anselm Drive, Manchester, New Hampshire- 03102
    Contact Number: (603) 641-7000
    Official Website:
  • Plymouth State University
    Address: 17, High Street, Plymouth, New Hampshire- 03264-1595
    Contact Number: 603-535-5000
    Official Website:
  • Life Safety Institute
    Address: 904 Hanover St, Unit 3, Manchester, NH 03104
    Contact Number: (800) 365-4277
    Official Website:

New Hampshire EMT Contact Information:
New Hampshire Bureau of EMS
State Government Office
Address: 98 Smokey Bear Boulevard
Concord, NH 03301
Phone:(603) 223-4200

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