As part of the application process for Re-Entry to the National Registry, you must submit proof of education and lapsed state license/certification (if applicable).

Please use the form below to enter your education, attach your proof and submit. For more information on the requirements or application process, see the links below.

EMT Re-Entry requirements
AEMT Re-Entry requirements
Paramedic Re-Entry requirements

Email

Full Name

App ID

Level

EMT AEMT Paramedic

National Component Education: EMT (20 hrs) · AEMT (25 hrs) · Paramedic (30 hours)

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Airway/Respiration/Ventilation, Trauma, Medical, Operations, Cardiovascular

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National Component Course Names

Course names for the education you would like to use for this section

Local or State Component

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Individual Component

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State License/Certification

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CPR-BLS for "Healthcare Provider"

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