International Assessments
In Canada, provincial regulators of emergency medical responders (EMRs) and paramedics have the legislated authority to grant registration, licensure, or certification to individuals to practise as EMRs and paramedics. We at COPR assist many of the regulators in assessing credentials of international applicants before those applicants complete provincial regulatory requirements. We assess applicants for the primary care paramedic (PCP) and advanced care paramedic (ACP) designations in most provinces. For information about registration, licensure, or certification for these designations in British Columbia, Ontario, Quebec, or New Brunswick, contact the provincial regulator for those jurisdictions.
To be assessed for the EMR or critical care paramedic designation or for inquiries about these assessments, contact the regulator of the province where you, the applicant, are seeking registration, licensure, or certification.
Application Process
2. Review the International Assessment Application Instructions.
3. Review the COPR Assessment of International Applicants Handbook, which offers detailed information about the assessment application process, including the following:
• initial application requirements
• competency self-assessment tool
• eligibility assessment application requirements, including verification of regulatory standing and/or employment
• examinations
• application file review
• fees
• translation of documents
• next steps.
To verify regulatory standing and/or employment, the regulator and/or employer must complete the following forms and submit them directly to us. If you are having trouble accessing the electronic forms, please have the regulator and/or employer email or mail a letter of standing to us.
The COPR Assessment of International Applicants Handbook details the steps you need to complete. Once you’ve completed them, we will provide the appropriate provincial regulator with a summary of assessment findings and a recommendation of designation equivalency. The regulator will then contact you about completing provincial regulatory requirements. Regulatory requirements differ in each province, and provincial regulators have registration, licensure, or certification fees. For more information on these requirements, click here.
Note: In early 2026, we will transition the assessment criteria for international applicants from the National Occupational Competency Profile to the Canadian Paramedic Competence Framework. More information about the framework is available here.