Emergency Health Services

Labour Mobility and Equivalency in Ontario

Paramedic Equivalency Process

The Ontario Paramedic Equivalency Process provides an opportunity for paramedics or other healthcare professionals, who obtained their training outside of Ontario, to determine if they have the knowledge and skills required to be eligible to work as a paramedic in Ontario. Please note that the equivalency processes do not evaluate Aerophysiology or Critical Care training completed in other jurisdictions.

There are two different processes for paramedic equivalency in Ontario:

  1. Paramedic Labour Mobility Equivalency is open to paramedics who have completed a Primary Care Paramedic (PCP) or Advanced Care Paramedic (ACP) program outside of Ontario, and are registered/licensed in good standing in another Canadian jurisdiction. Upon successful completion of the Paramedic Labour Mobility Equivalency process, you will be issued an AEMCA certificate and/or an ACP certificate as applicable. Once you have obtained your Ministry of Health and Long-Term Care certificate(s) you can begin to seek employment opportunities in Ontario.
  2. Standard Paramedic Equivalency is open to healthcare professionals who have completed training outside of Ontario or paramedics who are not licensed/registered in another Canadian province.

    Upon successful completion of the Standard PCP Equivalency process you are eligible to apply to the MOHLTC AEMCA examination and upon successful completion of the Standard ACP Equivalency process you are eligible to apply to the MOHLTC ACP examination.

Individuals should also refer to the additional qualifications required by Ontario Regulation 257/00 Part III 6-8 to be employed in Ontario as a paramedic once they have obtained their MOHLTC examination certificate(s).

Verification of Ontario Registration

Paramedics seeking employment as a paramedic in another Canadian jurisdiction and require verification of their PCP or ACP Ontario registration must submit a formal request to Certification and Patient Care Standards (CPCS). Most jurisdictions have an official verification of registration form. It is the applicant’s responsibility to complete their portion of the form, and then submit it to CPCS. The following three (3) components are required for verifying registration in Ontario:

  1. An official verification of registration form completed by the applicant, with the applicant’s original signature in ink.

    In the absence of an official form the applicant submits a written letter requesting verification of registration which should include the following information:

    • name;
    • address;
    • telephone number;
    • paramedic level to be verified;
    • file number (e.g. 00-01234);
    • name and address of the individual/organization requesting the information; and
    • applicant’s original signature.
  2. If you have been employed with an Ontario certified ambulance service provider within the last 2 (two) years please provide on their respective official letterheads:
    • proof of employment from the ambulance service provider; and
    • proof of current certification from an Ontario regional base hospital.

    If you have not been employed with an Ontario certified ambulance service provider or have not worked in Ontario for more than 2 years please explain this in writing. This employment-related information will be shared with the regulator to verify your status as an Ontario PCP or ACP as applicable.

  3. A certified cheque or money order payable to the Minister of Finance in the amount of $15.00 for each request.

Once we have reviewed your file and completed our portion of the form, we will send it directly to the regulator. You will receive a courtesy copy of the completed form as well as a receipt of payment. 

Please allow approximately 2 weeks for processing.

Please forward your submissions to:

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

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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