These are the eight steps you must follow, in order to take your Cognitive Exam with the NREMT. These should be started roughly 3-4 weeks before you are hoping to take your test so that you have plenty of time to complete them. Be smart! Plan ahead and you’ll be good to go.

1. Step 1 is creating your account. You must go to the (NREMT website) and click on the login button that is found at the top of the NREMT home page. Then click on Set Up New Account and follow the instructions to create your account.
2. Follow the link and login with the username and password that you just created. Make sure to note these somewhere as you will need these for the rest of your EMS career if you keep your NREMT certification. Create a sticky note on your desktop
3. Complete all of the information in the Personal Account section. Your name should be the same as it appears on your driver’s license as you will need it to match when you go to take your test. This is also the name that will show up on your certification. If the name does not match your license exactly then you will not be allowed to test at the testing center.
4. Click on Create New Application to apply to take your exam. Review your personal information to ensure that it is correct, if it is not then you can click on Manage Account Information. Then select what level you are applying for.
5. Pay the application fee. Pay this now if you can because you will not be cleared to test until it is paid, so if you wait until later, or forget to pay it, then you will be delayed in being cleared to test. You are able to pay online using a credit card or debit card or you are able to print out a money order tracking slip to mail your money order to the NREMT. If you do not pay you will not receive your Authorization to Test (ATT) letter.
6. When your application has been completed and verified then you will see a link that says Print ATT letter. You can find this by logging in with your username and password, go to Candidate Services, then to Application Status. You may then see something that says ‘Submitted’ which means that the NREMT has sent your information to the program you attended to verify that you have completed the program. If the program has verified that you have completed the program and passed then you will see a link that says ‘Print ATT letter.’
7. Print the ATT letter in order to schedule your exam. When you print the letter, it will contain instructions on how to schedule a test. Follow these instructions to schedule your exam.
8. Call Pearson VUE to schedule your exam. (Learn more about Pearson Vue and what you should know before you show up). The letter will contain a phone number to call to schedule a test. It will tell you which testing centers are close to you and what dates and times are available for testing. You will select a testing center, and a date and time to test. If you need to reschedule your exam you can do it up to 24 hours prior to your test. If it is less than 24 hours until your test you will have to make a new application and pay another application fee. If you are late for your test, you may lose your appointment, and if you miss your appointment you will not be issued a refund. Your letter will also contain other important information such as what to bring or not bring to the test with you and what forms of identification is acceptable for admission into the testing center.

Additional information on testing can be found on the NREMT website by viewing this PDF from NREMT