Critical Care Program 2025

Critical Care Paramedic Program 2025

Certification Verification: Please fill out the requested information & upload your certifications below.
Full Legal Name: (As Listed on Professional License)*

First NameLast Name
Email:*
example@example.com
Phone Number:*
Please enter a valid phone number.Format: (000) 000-0000.
ParamedicPerfusionistPhysicianRegistered NurseRespiratory TherapistOther
Other Licensure Level:
IDPH License Number:*
Professional License Upload:*

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✅ Acknowledgment

By submitting this form, I certify that all of the information provided above is true and accurate to the best of my knowledge.

I authorize The University of Chicago and/or LifeLine Ambulance, LLC. to verify the credentials and certifications I have submitted as part of my enrollment in the Critical Care Paramedic Program.

I understand that if any information I have provided is found to be false, I may be denied the opportunity to sit for the course or receive course completion, and I may not be eligible for a refund of tuition or fees paid.
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Critical Care Paramedic Program 2025