DMCare Express and Life Support Training Institute are partners with one goal. To train EMS professionals. LSTI offers classes in the Downriver area as well as in their main school located in Southfield, MI.

EMS professionals require focused training that prepares them to provide emergency care in the pre-hospital and hospital environments. Life Support Training Institute (LSTI) delivers that training.

For EMS professionals, Life Support Training Institute (LSTI) is the best choice for beginning, or enhancing, your EMS career. We have been providing EMS education since 1986. Our graduates work in private EMS organizations, municipal fire departments and public safety departments, and hospitals. Some have even furthered their education, becoming nurses and doctors.

We are approved by the Michigan Department of Community Health (MDCH) to provide EMS training, and licensed as a proprietary school by the State of Michigan.

LSTI is also a certified American Heart Association training center offering classes in CPR, ACLS and First Aid at various levels of training.

For more information visit

News and Events

Now Hiring

DMCare Express is NOW HIRING Part Time Paramedics for Road Deployment & Special Events. Would you like to join a reputable team of professional EMT’s and Paramedics? How about working a Tigers or Red Wings game? Learn more about DMCare Express Careers.

Physician Certification Statement

(Medical Necessity)

A Physician Certification Statement (PCS) is required, pursuant to 42 C.F.R. 410.40(d)(2) and (3), by the Centers for Medicare/Medicaid (CMS) on all scheduled and unscheduled non-emergency transports.

In an effort to make these forms readily available to healthcare providers who are arranging medical transportation by ambulance, you may download the medical necessity forms here:

Contact Information

DMCare Express
1600 E. Grand Blvd. Suite 200
Detroit, Michigan 48221

DMCare Express is headquartered just east of Downtown area, and only minutes away from Cobo, the Renaissance Center, the Detroit Medical Center, Rock Financial, the Detroit Casinos, Hamtramck, and Eastern Market. For more information in contracting with DMCare for services to your area or facility, please contact Terrye Nicholls.

Key Contacts:

Operations Executive: Terrye Nicholls
Operations Supervisor: Nicholas Montry
Event Coordinator/Supervisor: Jennifer A. Czuchaj