Life EMS Ambulance - Ionia County

This enrollment form is for the agency administrator(s) only. Personnel are added by the administrator.

First Name:* First Name Required

Last Name:* Last Name Required

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EMREMTEMT-1EMT-BEMT-DEMT-IntEMT-2EMT-CCEMT-PParamedicPCPACPAEMTCFROther

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State EMS # (Required for CAPCE and State CE): State EMS # (Required for CAPCE and State CE) is not valid

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NREMT # (Leave blank if none. Required for CAPCE if State EMS # above is NOT provided.): NREMT # (Leave blank if none. Required for CAPCE if State EMS # above is NOT provided.) is not valid

Date of NREMT Re-registration (Leave blank if none. Required with NREMT #): Date of NREMT Re-registration (Leave blank if none. Required with NREMT #) is not valid

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Password Strength  Password must be "Medium" or stronger

This site collects names, emails and other user information and never sells user information. By agreeing to this policy, you consent to the terms set forth in the Privacy Policy. If you are taking CAPCE accredited courses, you additionally understand that American CME will submit a record of your CAPCE course completions to the CAPCE AMS. You further understand that course completion records may be accessed by or shared with such regulators as state EMS offices, training officers, and NREMT on a password-protected need-to-know basis. In addition, you understand that you may review your record of CAPCE accredited course completions by contacting CAPCE.

 

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