EMS Fee Schedule

---

Effective July 1, 2017

Services| Items | Training Program | Providers | Forms

Services
Mobile Intensive Care Nurse Authorization	$125
Paramedic Accreditation (Initial and lapsed)	$325
Paramedic Intern Authorization	$80
Emergency Medical Technician (EMT) Certification	Initial $155 * Renewal $117 *
EMT - Psychomotor Skill Verification	$60
Emergency Medical Responder (EMR) Certification	$35
Emergency Medical Dispatcher (EMD) Accreditation	$35

* This fee includes a $80 county fee and additional fees imposed by the State of California: Initial applicant or

    applicants requiring a Livescan background fingerprinting $75 and renewal applicant $37.

Items
Replacement Card	$25
Late Application	$45
Copying fee	$0.10 per page

Training Program Applications and Monitoring
Paramedic Training Program Application	$15,840
Paramedic Training Program Annual Monitoring	$4,180
EMT Training Program Application	$13,640
EMT Training Program Annual Monitoring	$4,180
Continuing Education Provider Application	$7,040
Continuing Education Provider Annual Monitoring	$1,980
Public Safety First Aid & CPR Training Program Application and Annual Monitoring	$1,100
ALS/BLS Provider EMT Program Biennial Monitoring	$2,200
ALS/BLS Provider CE Biennial Monitoring	$2,200

Providers
Non-Emergency Ambulance Ambulance Annual Permit	$13,275
Air Ambulance Annual Permit	$13,325

Forms (Order at link below)
Inter-facility transfer form	$35.00  (Set of 100)
First responder form	$25.00  (Box of 500)
Refusal of service form	$25.00 (Box of 500)
Interim patient care reports	$25.00 (Box of 150)
Triage tags box	$300.00 (Box of 500)
Triage tags individual	$0.60 Each
ALS field treatment protocol book (out of stock)	$15.00
BLS field treatment protocol book (out of stock)	$10.00

Forms prices and ordering information

Print Copy of Fee Schedule - PDF version