EMT Recertification V2

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.

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$0.00

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Agreement

Not a Complete Refresher Course

I verify understanding that I am registering only for 1 or 2 components of the required 3 NCCP components needed to recertify as an EMT and that I will be obtaining the other component(s) elsewhere. If, after registering here, I subsequently decide to complete the other components with Allied Medical Training, I must pay the course fee to access the other components. (Registration for the full NCCP 40 hour course does not apply to this message.)

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Not a Complete Refresher Course*

I verify understanding that I am registering for two of the three NCCP components needed to recertify as an EMT and that I will be obtaining the third NCCP component elsewhere. If, after registering here, I subsequently decide to complete the third component with Allied Medical Training, I must pay the course fee to access the third component.

State Requirements*

Allied Medical Training provides CAPCE-accredited continuing education. Most states accept this accreditation, but some also have different (or more) continuing education hours required than what is included in our course.

I verify that I understand my state's continuing education requirements, and that my state accepts CAPCE-accredited continuing education.

Verification*

I verify that the information I have entered about my EMT certification is accurate, and I understand that this course is for EMT-level providers only, and is not intended for Paramedics or EMRs.

Terms and Conditions*

I understand and agree to the TERMS AND CONDITIONS

Terms and Conditions for CA

I understand that some counties in CA require a skills verification that must be completed with a program locally, and this course with AMT only includes the required continuing education and not the in-person skills verification.

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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.

Invoice to a Sponsoring Organization

Did your organization give you a code to enter when registering?*

Organization ID*

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Name of Organization*

Contact Person at Organization*

Phone of Contact Person*

Email of Contact Person*

Mailing Address of Organization*

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 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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