Please enter the information below to receive CAPCE credit. You will need to enter at least a state or NREMT for credit, please enter both if you have them. You will receive a separate email from Prodigy EMS with instructions on accessing your certificate. 

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1. First Name (Required.)

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2. Last Name (Required.)

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3. Email (Required.)

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4. City of Residence (Required.)

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5. State (Required.)

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6. Provider Level

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7. State License Expiration Date

Date

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8. NREMT Certification Number

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9. NREMT Expiration Date

Date
By submitting this form, you agree that you participated in this course and the information above is accurate.
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