As part of the application process for State License entry to the National Registry, you must submit proof of education and current state license/certification.

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.

EMR State Licensed requirements
EMT State Licensed requirements
AEMT State Licensed requirements
Paramedic State Licensed requirements

Full Name

Email

App ID

Level

EMR EMT AEMT Paramedic

National Component Education: EMR (8 hrs) · EMT (20 hrs) · AEMT (25 hrs) · Paramedic (30 hrs)

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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 the National Component

State License/Certification

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CPR-BLS for "Healthcare Provider"

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