1Student Information

2EMT Certification Info

3Course Selection

4Agreement & Payment

Student Information
Full Name*
First Last
Email Address*
Please use your personal email address rather than a work or school account. Course instructions will be emailed to this address, and it will also become your username for logging into the online course.
Enter Email Confirm Email
Cell Phone Number*
Just in case we can't reach you by email.
And your mailing address?*
Please note the state of New York does not accept our courses.

Street Address Address Line 2 City State ZIP Code

EMT Certification Info
For the purposes of this registration form, the terms "certification" and "license" are the same.
Type of Recertification*
Are you maintaining certification with a specific State, the NREMT, or both?
Select renewal State*
Be sure to check your state's continuing education requirements before registering. Need help? Please contact us.
Unfortunately, New York is one of the few states in the country that does not directly accept CAPCE-accredited continuing education like ours. At this time, we are unable to offer CE training to EMTs intending to renew or become certified in NY. For more information on the recertification requirements in NY, please visit: https://www.health.ny.gov/professionals/ems/certification/cmerecert.htm
Unfortunately, New Jersey is one of the few states in the country that does not directly accept CAPCE-accredited continuing education like ours. At this time, we are unable to offer CE training to EMTs intending to renew or become certified in NJ. For more information on the recertification requirements in NJ, please visit: https://www.nj.gov/health/ems/education/
Certification Status*
Need help finding your certification info? You can look up your California EMT certification here.
Lapsed Certification Disclaimer*
California requires EMTs lapsed 12 months or more to obtain 48 hours of continuing education (click here for requirements). Please contact us at [email protected] for more information you have lapsed for 12+ months.
- I understand that this course does not contain all the continuing education hours I need to recertify with California, but I would like to register for it anyway.
Expiration date of your State EMT certification*
Month
Day
Year
Enter your State EMT certification number
Don't have it handy? You can skip this field, and we'll contact you to get this info later.
Are you a licensed Peace Officer?*
This course qualifies for POST credits.
POST license number
This field only applies if you are a licensed Peace Officer that would like to receive POST education credits for this course.
Enter your 12 digit NREMT EMS ID
Don't know your EMS ID? You can skip this field and email it to us later (or let us know if you need help finding it).
This field is hidden when viewing the form
Enter your national registry number
Don't remember your number? You can skip this field and send it to us later.
Expiration date of your National Registry (NREMT) certification*
Month
Day
Year
Anything else you'd like us to know?

Payment
Payment Method*
Promo Code
Northwestern Health Verification*
- I verify that I am currently a student or faculty/staff member of Northwestern Health Sciences University.
Total
$0.00
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Agreement
State Requirements*
Allied Medical Training provides CAPCE-accredited continuing education. Most states accept this accreditation, but some also have different requirements for continuing education. If you aren't sure what your state requires, please contact us.
- I understand my state's requirements, and that my state accepts CAPCE-accredited continuing education.
Provider Level Verification*
- I understand that this course is for the EMT level only, and is NOT intended for EMRs, AEMTs, or Paramedics.
Terms and Conditions*
- I understand and agree to the TERMS AND CONDITIONS
Local Recertification Requirements
- I understand that some counties in CA require a skills verification, and this course with Allied Medical Training does NOT include in-person skills verification.
This field is hidden when viewing the form
Signature of Student
By typing my first and last name below, I verify understanding and agree to the terms and conditions. I also verify that the person completing this form is the student enrolling in the course.
First Last
Invoice to a Sponsoring Organization
Did your organization give you a code to enter when registering?*
Organization ID*
Enter the code below
Name of Organization*
Contact Person at Organization*
First Last
Phone of Contact Person*
Email of Contact Person*
Enter Email Confirm Email
Mailing Address of Organization*
Street Address Address Line 2 City State ZIP Code
Instruction for Submitting Invoice
Enter any specific instructions we should know about submitting an invoice to this organization (for example: what to include in the memo, etc).
Invoice Terms and Conditions*
- I understand and agree that the organization above has authorized payment for my course fees, and if payment is not received by the due date indicate in the invoice, my course registration will be canceled.

EMT Recertification Course Registration

Step 1 of 5Next: Course Selection

Certification Info
Course Selection
Student Information
Payment
Agreement & Signature

EMT Recertification V2

Student Information

EMT Certification Info

Course Selection

Payment

Agreement

Invoice to a Sponsoring Organization

EMT Recertification Course Registration

Step 1 of 5Next: Course Selection

Certification Info

Course Selection

Student Information

Payment

Agreement & Signature

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