MetroPCR is flexible electronic patient care reporting software for fire-based EMS, ambulance services, major metro systems, and hometown volunteer departments that need fast field documentation, offline reliability, NEMSIS 3.5.1 compliance, QA workflows, billing exports, and hospital data delivery.
MetroPCR gives crews a faster EMS documentation workflow in the field and gives administrators control over NEMSIS reporting, QA, billing, integrations, and agency-specific configuration.
Layout, rules, questions, choices. Your agency runs your way. No two departments are the same, and your ePCR should be flexible enough to match the way you actually work.
Native Android app that runs offline and syncs automatically when connected. Write reports anywhere and everything uploads when you're back.
We don't sell, share, or broker your data. Your patient information stays private.
Turn a 10 minute report into 2. AI-assisted documentation lets your crews complete reports faster than ever, so they can get back to what matters.
Control Center gives admins full visibility into QA workflows, billing exports, NEMSIS 3.5.1 compliance, hospital data delivery, and a rules engine for your protocols.
Dual roles, same tools. Your personnel can document EMS and fire incidents on one platform without switching systems or learning new software.
One connected workflow
Field crews document on rugged tablets. Administrators review, QA, export, and manage everything from Control Center.
Crews can document EMS and fire incidents without switching systems.
Partner spotlight
The Zebra ET45 solution guide shows MetroPCR running on rugged tablets built for field EMS: integrated barcode scanning, extended battery life, offline workflows, and hardware designed for real-world calls.
View Solution GuideEvery agency is different. MetroPCR flexes to your workflows, your protocols, your field reality. Not the other way around.
Things change fast in EMS. New protocols, new requirements, new needs. We move with you. Not six months behind you.
Quick Entry for meds, procedures, vitals. Driver license scanning. Voice-to-text narratives. Your crews finish reports in minutes, not hours.
Explore by need
MetroPCR supports fire departments, EMS agencies, ambulance services, major metro systems, county services, private providers, and hometown volunteer departments with ePCR software that fits the way they actually work.
Core product
Fast patient care reporting for crews, clean review workflows for administrators, and flexible configuration for how your agency actually operates.
Fire-based EMS
EMS and fire incident reporting in one platform, built for dual-role personnel and department-wide visibility.
Compliance
NEMSIS 3.5.1 compliant reporting with validation, state submission support, QA review, and data exports.
Field reliability
Native Android documentation that keeps working in hospitals, rural coverage areas, basements, and anywhere connectivity drops.
Administration
Case Review, billing exports, AI report transcription, improved narratives, rules, reporting, and admin tools that reduce cleanup after the call.
Evaluation
For departments comparing ePCR options, legacy EMS documentation systems, or a possible vendor change.
Device management
Secure desktop access, RFID quick badge login, geofencing, remote screen support, recovery mode, and field tablet control built around EMS use.
EMS ePCR software
MetroPCR helps EMS agencies document patient care, validate required data, complete reports faster, and move information from the field to QA, billing, hospitals, and state reporting systems without forcing every department into the same rigid workflow.
For buyers searching for EMS ePCR software, patient care report software, EMS charting software, or electronic patient care reporting software, the difference is more than the form. The right platform should fit the department, the crews, the review process, and the data workflows after the call.
Fire department ePCR software
Fire-based EMS agencies need software that understands dual-role personnel, EMS calls, fire incidents, QA, administration, and command visibility. MetroPCR gives departments a connected documentation platform instead of forcing crews to jump between disconnected systems.
Crews can document EMS and fire incidents with familiar tools, while administrators manage reporting, compliance, exports, and review from Control Center. This is especially important for departments searching for fire EMS reporting software, fire department patient care reporting, or fire-based EMS ePCR.
EMS and fire workflows without retraining crews on multiple systems.
Review, QA, reporting, and exports in a single back-office environment.
NEMSIS compliant ePCR
MetroPCR supports NEMSIS 3.5.1 compliant patient care reporting while still giving agencies room to configure local protocols, review rules, validation logic, billing exports, and operational workflows.
Help crews and reviewers catch missing or inconsistent documentation before it becomes rework.
Support required EMS data submission workflows and agency-specific compliance requirements.
Collect required fields while still capturing the details your department needs to operate.
Offline ePCR software
Ambulance crews and fire departments work in places where connectivity is not guaranteed. MetroPCR Mobile runs natively on Android tablets, supports offline documentation, and syncs automatically when a connection is available.
Crews can keep working when connectivity drops in a hospital bay, basement, rural response area, or busy station. Reports stay available on the tablet, then sync when the connection returns.
Document care without waiting on a signal.
Move reports forward when connectivity returns.
Purpose-built MDM
MetroPCR offers purpose-built mobile device management for agencies that rely on field tablets for patient care reporting. It gives departments secure desktop control, agency-defined access for field providers, geofencing, remote screen control for live user support, recovery mode for lost or stolen devices, and RFID quick badge access.
From a hometown volunteer department to a major metro deployment, device readiness matters. Crews need tablets that open only the right tools, support quick shift access, stay consistent across units, and can be supported remotely when someone is stuck in the field.
EMS QA and billing exports
The field report is only the beginning. MetroPCR supports the back-office work that happens after documentation: QA, case review, billing exports, AI report transcription, improved narratives, compliance, reporting, and operational visibility.

Use agency-specific rules to support better documentation.
Turn crew input into stronger narratives that support QA, billing, and cleaner documentation.
Structured review workflows for improving documentation quality.
Move clean data to billing partners and downstream systems.
ePCR alternatives
Agencies comparing ePCR systems often look at compliance first, then discover the harder questions: how fast is it for crews, how much control does the agency have, how cleanly does data move, and how responsive will the vendor be after go-live?
MetroPCR is built for departments that want a flexible, field-focused partner instead of a one-size-fits-all system, whether that department is a major metro agency, a county EMS service, a private ambulance provider, or a hometown volunteer department.
A real comparison should start with the people who will use the system on calls. Put the software in the hands of field providers and watch how quickly, naturally, and confidently they can complete a report.
"Our primary focus has always been on enhancing the work of front-line medics, making their lives simpler."
Josh Austin, CEO
We're privately owned and operator-run, not backed by private equity or beholden to shareholders. That means every decision we make starts with one question: does this help the people in the field? No bloated feature committees. No 18-month roadmaps that never ship. Just a focused team that builds what you actually need. It's why departments we worked with at our previous company chose to follow us to MetroPCR. Flexibility, responsiveness, and genuine partnership are hard to find in this industry. We don't just sell software. We build relationships.
Citizens Served
Annual PCRs Documented
Combined Years in EMS Software
MetroPCR sits at the center of your EMS data ecosystem, seamlessly connecting the field to the back office and beyond.
"We are thrilled about the launch of our integration with MetroPCR as it promises to streamline medication administration and patient documentation through increased speed and accuracy. The MetroPCR team's expertise in the industry is evident in the exceptional final product."
Peter Antevy, MD
Founder & Chief Medical Officer, Handtevy · Read the article
"I have worked in our ePCR office for over five years and have worked with three different ePCR applications during that time. Its my pleasure to recommend MetroPCR because it has been by far the easiest system to work with both from a field perspective and on the back end."
James R.
EMS Division Chief
"As someone new to overseeing EMS Operations, I've relied on the Metro Team for support across a wide range of needs, including CAD dispatching, ePCR form modifications, data collection, LIFEPAK 35 integration, and launching our Case Review program. In every instance, they responded promptly and with expert guidance. They went above and beyond by setting up online training and proactively asking how they could tailor things to our specific needs. I couldn't ask for a better support team."
Dan Albertz, Captain
Delhi Township Fire Department, OH
"Between our new CAD integration and Synapse, your AI Scribe tool, it’s like Christmas morning here in Hebron! Crews have said it’s saving them time when completing their PCRs!"
Adam N. Peddicord
Fire Chief, Hebron KY
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