General Assembly
- Acadian Ambulance
- Alabama-Coushatta
- Allegiance Mobile Health - Angelina County
- Allegiance Mobile Health - Nacogdoches
- Allegiance Mobile Health - Polk County
- Allegiance Mobile Health - San Jacinto County
- Allegiance Mobile Health - Tyler County
- Central Heights/Appleby VFD
- CHI St Luke's Health - Livingston
- CHI St Luke's Health - Lufkin
- CHI St. Luke's Health - San Augustine
- Chireno Volunteer Fire Department
- City Ambulance
- DSHS
- Douglass Volunteer Fire Department
- Excel ER
- Etoile Volunteer Fire Department
- Fairmount Volunteer Fire Department / FRO
- Flight for Life
- HCA AirLife 11
- Lufkin Fire Department
- Melrose Volunteer Fire Department
- Nacogdoches County EMS
- Nacogdoches Fire & Rescue
- Nacogdoches Medical Center
- Nacogdoches Memorial Hospital
- PHI Air Med 11
- Pineland Volunteer Fire Department
- Powell Town Volunteer Fire Department
- Sabine County EMS
- Sabine County Hospital
- San Augustine County EMS
- San Jacinto County First Responders
- Scenic Loop Volunteer Fire Department
- Segno Volunteer Fire Department
- Six Mile Volunteer Fire Department
- South Nacogdoches Volunteer Fire Dept.
- South Polk Co Volunteer Fire Department
- Texan EMS
- Total Point ER
- Tyler County Hospital
- Woodland Heights Medical Center
- Woodville Volunteer Fire Department
- Forrest King - Independent Educator