Registered Medical Assistant (RMA) AMT
Organization Profile
Organization Name
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Campus Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
School Type
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High School
Community College
Career School
Technical
University
Apprenticeship
Workforce Development
Route
High School Affiliate
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Name of Partnered Organization
Program is:
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Registered with the US Department of Labor (DOL)
A federally recognized State Apprenticeship Agency (SAA)
Other
Workforce Development Affiliate
*
Name of Partnered Organization
Accreditor (check all that apply)
*
ABHES
ACCET
ACCSC
CAAHEP
None
Other
Current Certification Agency Used (check all that apply)
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AMT
AAMA
NHA
NCCT
None
Other
Website Address and/or Academic Program Links
*
example: www.amt-university.org
Contact Info
Contact Name
*
First Name
Last Name
Title
*
Business Email
*
example@example.com
Phone Number
*
Program Curriculum
As indicated in your organization's course catalog
Number of Classroom Clock Hours (excluding externship)
*
(Convert credit hours to clock hours)
OLD Classroom Hours
(Convert credit hours to clock hours)
Number of Externship Clock Hours
*
(Convert credit hours to clock hours)
Length of Program
*
(Length of time it takes for students to complete the program)
OLD Externship Hours
(Convert credit hours to clock hours)
Attach a copy of your syllabus or course outline
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Minimum Program Requirements
Check all areas below that apply to your curriculum.
Anatomy and Physiology
Body Systems
Medical Terminology
Number of Classroom Clock Hours
*
(Convert credit hours to clock hours)
Administrative Medical Assisting
Insurance
Financial Bookkeeping
Medical Receptionist / Secretarial / Clerical
Medical Laws and Ethics
Human Relations
Number of Classroom Clock Hours
*
(Convert credit hours to clock hours)
Clinical Medical Assisting
Asepsis
Sterilization
Instruments
Laboratory Procedures
Minor Surgery
Number of Classroom Clock Hours
*
(Convert credit hours to clock hours)
Clinical Patient Interaction
Patient Education
Vital Signs and Measurements
Physical Examinations
Clinical Pharmacology
Therapeutic Modalities
Laboratory Procedures
Electrocardiography (ECG)
First Aid, CPR, and Emergency Response
Number of Classroom Clock Hours
*
(Convert credit hours to clock hours)
N/A
(If other)
N/A
(if other)
Total Program Requirements Selected
Decimal of Program Requirements Selected
% of Program Requirements Selected
Total Hours Outlined per Section
Total Program Hours
Agreement
*
Please verify that you are human
*
Submit
Account Care
N/A
Anatomy and physiology
Medical law and ethics
Medical terminology
Psychology/human relations (or equivalent)
N/A
Basic clerical functions to include: reception, ordering, office safety, etc.
Manual and computerized records management
Financial management and bookkeeping
Insurance (including procedural and diagnostic coding)
N/A
Asepsis/Sterilization/Infection control
First aid CPR
Patient examination and preparation (vital signs, physical exam, patient history, etc.)
Specimen collection and phlebotomy
Pharmacology
Injection
Basic laboratory procedures
Should be Empty: