Pee Dee Regional EMS, Inc.
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This form must be completed and submitted 14 days prior to the exam date for EMT and 21 days prior to the exam for AEMT and Paramedic! No Exceptions will be allowed: Practical Exam cost is $25.00 per skill station for the EMT and AEMT exams. The paramedic practical exam is $300.00 for the six stations: Please call (843) 662-5771 or email
Beth@PDREMS.Com
if you have questions.
PLEASE NOTE: If you need to repeat a basic skill and you are testing for an advanced level (AEMT or Paramedic) YOU MUST DO SO AT AN ADVANCED EXAM! Please call the office for the next scheduled advanced exam date.
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Indicates required field
Name
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First
Last
Middle Name
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Phone Number
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Email
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SC EMT Number
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Training Course Number (Issued for each course in CIS.
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If you do not know your course number it can be located by searching the CIS web site www.emspic.org/sc/go .If the course was conducted outside of SC please enter None
Last 4 of Social Security Number
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Date of Exam you are Registering for:
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NREMT PATT Authorization #
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Select One
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EMT Exam
Advanced EMT Exam
Paramedic Exam
If registering for either AEMT or Paramedic Exam you MUST supply the PATT number issued by NREMT with this registration form. You must bring the PATT letter with you to the practical exam.
Skills Needed
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EMT (All 4)
Advanced EMT (Full Exam)
Paramedic (Full Exam)
EMT (Specifiy below)
AEMT (Specify below)
Paamedic (Specify below)
EMT Exam- Choose All That Apply
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Medical Assessment
Trauma Assessment
CPR/ AED
Oxygen Administration
BVM Ventialtion
LMA Airway
King Airway
Bleeding Wounds & Shock
Joint Immobilization
Long Bone Immobilization
Seated Spinal (KED)
Supine Spinal (LSB)
AEMT Exam- Choose All That Apply
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Medical Assessment
Trauma Assessment
Respiratory Compromise
LMA
King
IV Therapy
IV Push medication
Pediatric IO
Supine Spinal (LSB)
Seated Spinal (KED)
Bleeding Wounds & Shock
Long Bone Immobilization
Joit Immobilization
Paramedic Exam- Choose All That Apply:
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Trauma Assessment
Out of Hospital Scenario
Dynamic Cardiology
Static Cardiology
Oral Station A
Oral Station B
Submit