Epinephrine Auto-Injector Information

State law allows physicians to prescribe epinephrine auto-injectors to businesses and the general public with proper training and certification. The epinephrine certification card issued by the EMSA allows an individual to obtain a prescription for and administer an epinephrine auto-injector to a person experiencing anaphylaxis, with civil liability protection.

Training Program Approval Information


For those wishing to become an EMSA-approved epinephrine auto-injector training program, please review these steps:

1. Submit the following:

● Your written request for training program approval
● All items identified in the Training Program Checklist [PDF]
● Check or money order in the amount of $500.00, made out to “Specialized First Aid Fund”

2. EMSA staff will notify you of receipt of your program materials upon their arrival at EMSA.

3. EMSA staff then have 60 days to review your training program materials and either:

● Approve your application and program materials,
● Send a modification letter, notifying you of any missing items you must submit to complete your application

4. Once your application is complete and approved, EMSA will:

● Send you an approval letter and program certificate, indicating your four-year approval cycle
● Add your program to EMSA’s public Training Program Database.

Find a Training Program Near You!

Image used as button linking to Epinephrine Auto-Injector Training Page

Find Epinephrine Auto-injector Training and Certification for lay-rescuers and off-duty EMS personnel.

Please contact the programs directly for their course offerings.

The EMSA does not schedule or register participants for classes.







Do I need a certification card to carry my own epinephrine auto-injector?
No. If you have an epinpehrine auto-injector prescribed to you by an authorized health care provider, for your own use, you do not need to apply for a certification card.
Do I need a certification card to use an epinephrine auto-injector prescribed to my child or spouse?
No. If your child or spouse has an epinephrine auto-injector prescribed to them by an authorized health care provider you do not need a certification card to use/adminster epinephrine to them.
Are off-duty EMS personnel considered “lay rescuers” under the law when off-duty?
Yes. When off-duty, EMS personnel are considered lay rescuers. Paramedics, AEMTs, EMTs and First Aid trained public safety personnel are not independent medical practitioners who can use an epinephrine auto-injector while off-duty, unless further certified. The epinephrine auto-injector certification will allow EMS personnel to legally use an epinephrine auto-injector, and be protected from civil liability while off-duty.
How do I renew my certification?
The requirements and process for renewal of the certification are the same as that for the initial certification. You will find the application with required documentation provided above.
After I finish with training can I go get an epinephrine auto-injector from the pharmacy?
No, you must first get a prescription from a health care provider to present to the pharmacy.
What businesses should be stocking epinephrine auto-injectors?
It’s recommended that all businesses have access to epinephrine auto-injectors.
Is a business or certified person required to keep records of epinephrine auto-injector use?
Yes. Per regulations, certified persons shall make, maintain, and make available to EMSA upon request a record for five years, including:
    • Dates of receipt, use and destruction of each auto-injector dispensed, and
    • The name of any person to whom epinephrine was administered by using an auto-injector, and
    • The circumstances and manner of disposal of any auto-injectors

Contact the Epinephrine Certification Program!

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We are located at:
Emergency Medical Services Authority
10901 Gold Center Drive, Suite 400
Attn: Epi Program
Rancho Cordova, CA 95670
Phone: (916) 322-4336