REGISTRATION | Virtual EMS Refresher Course

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Registration Form

First name*

Middle Name*

Last name*

Multi-line address

Country/Region*

Address*

City*

Zip / Postal code*

Email*

Phone*

Certification Level*

EMR

EMT

Advanced EMT

Paramedic

Critical Care Paramedic

State of EMS Certification*

State EMS Certification Number*

National Registery of EMTs Certification Number*

Do you wish to have access to the Public Safety Group online EMS modules to complete for NREMT core requirements?*

Yes

No

Are you are Registered Nurse*

Yes

No

If you are a Registered Nurse, what State do you hold your primary license in?*

What is your Registered Nurse license number in that State?*

As a Registered Nurse, do you plan to claim continuing education hours from this course?*

Yes

No

N/A

Please complete the form below to register for the Virtual EMS Refresher Course. Once your registration is submitted, you will be directed to a separate payment page to finalize your enrollment. After your payment has been processed, you will receive a confirmation email with details about your live session schedule and course access. Please note that it may take up to 24-hours for your online refresher modules to become available.

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