In January, 1995 there were 14 members of the department enrolled in the first paramedic class to be held in Mayfield. The class consisted of extensive training and testing in all areas of advanced life support. On July 1, 1996, the Mayfield-Graves County Ambulance Service declared Advance Life Support with a staff of 12 paramedics who had successfully completed training. This upgrade greatly increased the quality of Emergency Medical care for the people of Mayfield and Graves County. In October, 2005, the 2nd paramedic class added 8 paramedics to the department.