NREMT EMT Psychomotor Registration Form
Fill out the form to register for our event
Exam Type/ Date
EMT Psychomotor NREMT Testing (07/01/2023) 0900 hrs
Name
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Exam Type
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Initial Exam
Retest (individual skills)
Retest (entire exam)
If Retest, what skills?
Trauma Assessment
Medical Assessment
Pediatric Airway Compromise
Random Skill (Bleeding Control, Long Bone, Joint Immob)
Cardiac Arrest Management
Spinal Immobilization (State of GA Req'd)
BVM Ventilation of an Apenic Pt
O2 Admin via NRB
School
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Instructor
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Instructor Phone Number
*
-
Area Code
Phone Number
School Address (for forwarding of results)
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***Skills Practice***
$
15.00
Skills practice from 1800 hrs to 2330 hrs the night before the NREMT exam!!!
EMT Psychomotor Examination
$
175.00
Skills Retest
$
Free
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Total
$
0.00
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