Skip to main content
Fill form with idloom.passport
idloom.passportLogin with idloom.passport
No account yet? Please register to this event and your account will be created automatically.
Or
Course Type
Important information

Please review all course requirements for the course level you are requesting.

If all requirements are met, select the appropriate course level and click "Next".


Course Information

This is the name of the organization conducting the course.
Select the days upon which the class will take place.(Select all that apply)
Select the time that the class sessions will start. It is understood that the schedule may change occasionally so enter the planned time.
Select the time that the class sessions will end. It is understood that the schedule may change occasionally so enter the planned time.
May be an approximation

Course Coordinator information

It is suggested that you use a personal email address that you will always have access to.

Sponsoring Agency information

Course Location

Tuition and Fees

Identify type and amount of all fees associated with the EMSP course. Check the box for the areas where tuition or fees are required.
In no cost for the student enter $0

Course Accreditation

Course Resources

Total Course Hours

Instructor Information

Medical Director Information

Course Accreditation / Credits Statement

HIPAA Education

Course social media / Advertisement Policy

All advertisements, course flyers, social media posts, webpage mentions, etc. related to activities or information pertaining to any regionally approved course in the BREMSS region must list Birmingham Regional EMS System or BREMSS as the course sponsor. All courses authorized by the regional office fall under that perspective region’s state accreditation as the curriculum sponsor.

Alabama Protocol Training

It is the responsibility of the course coordinator to ensure that all students enrolled in a regionally sponsored course receive appropriate training as it pertains to the most current ADPH OEMS Patient Care Protocols. The course coordinator should also provide each student with the appropriate documentation of protocol education completion as it will be required for initial state of Alabama licensure.

Course site visits

The regional EMS office is authorized to enter the training facility at reasonable times, for the purpose of assuring that the training program meets or exceeds the provisions of rule and standards. Site Visits may be planned or unplanned.

Course completion documentation

Basic Life Support (BLS) Certification

Documentation

Upload all supporting documentation. Anything not uploaded upon submission must be submitted by the date outlined in the course approval documents.
Allowed file formats: .jpg, .jpeg, .zip, .rar, .png, .bmp, .pdf, .docx, .doc, .pptx, .ppt, .mp4, mp3, m4a, wav, .ics, .webp, .gif, .xlsx, .xls, .csv Maximum file size: 20Mb
Allowed file formats: .jpg, .jpeg, .zip, .rar, .png, .bmp, .pdf, .docx, .doc, .pptx, .ppt, .mp4, mp3, m4a, wav, .ics, .webp, .gif, .xlsx, .xls, .csv Maximum file size: 20Mb
Allowed file formats: .jpg, .jpeg, .zip, .rar, .png, .bmp, .pdf, .docx, .doc, .pptx, .ppt, .mp4, mp3, m4a, wav, .ics, .webp, .gif, .xlsx, .xls, .csv Maximum file size: 20Mb
Allowed file formats: .jpg, .jpeg, .zip, .rar, .png, .bmp, .pdf, .docx, .doc, .pptx, .ppt, .mp4, mp3, m4a, wav, .ics, .webp, .gif, .xlsx, .xls, .csv Maximum file size: 20Mb

Course Coordinator Attestation


Your stay

Registration summary
Add a comment
Important information

Please verify all information entered is accurate prior to form submission.


Select a payment method to unlock booking

Detected timezone