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Tennessee Department of Health Emergency Medical Services Critical Care Paramedic Certification Exam - Registration

To Register complete the following form. You will be re-directed to Paypal where you will complete the payment process.
First Name
Middle Initial
Last Name
Social Security Number - -
Address 1
Address 2
City
State
Zip
Phone# - -
Alternate Phone# - -
EMail
Date of Birth (MM/DD/YY) / /
Ethnicity Caucasian
 African American
 American Indian
 Hispanic
 Asian
 Other
Gender Male Female
Location where you completed your State Approved Critical Care Paramedic Program
Is this a retest? Yes  No
Date scheduled to take exam (MM/DD/YY)

TENNESSEE DIVISION OF EMERGENCY MEDICAL SERVICES REGIONAL OFFICES 

Please Select the location that you plan to take the test.

 Northeast Tennessee Regional Health Office
Johnson City, TN 37604
Region 01
Place
East Tennessee Regional Health Office
Knoxville, TN  37919
Region 02
Place
Southeast Tennessee Regional Health Office
Chattanooga, TN  37402
Region 03
Place
Upper Cumberland Regional Office
Cookeville, TN  38506
Region 04
Place
Mid-Cumberland Regional Health Office
Nashville, TN 37247-0530
Region 05
Place
South Central Regional Health Office
Columbia,   TN 38401
Region 06
Place
West Tennessee Regional Health Office
Jackson, TN 38301
Region 07
Place
Memphis-Delta Regional Health Office
Memphis, TN  38105
Region 08
Place

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