Your Step-by-Step Guide to Becoming an EMT in Alabama
Becoming an EMT is an overwhelming yet fulfilling job. Whether you're preparing for your NREMT cognitive exam in Alabama or just beginning your training, this guide explains everything you need to know to become a successful EMT in Alabama.
How To NREMT is a dedicated platform aimed at helping candidates pass the NREMT exam. With our 10-step training plan, practice NREMT tests, one-on-one EMT tutoring, and AI-powered tools, you can learn test-taking strategies and build your knowledge.
This guide walks you through the certification process in Alabama and recommend the best NREMT prep tools to set you up for success if you’re struggling to pass the exam or taking the test for the first time.
Step 01
Meet the State’s Basic EMT Requirements
To apply for EMT certification in Alabama, you must meet the following eligibility requirements:
- You must be at least 18 years old
- You should have a valid CPR certification (Healthcare Provider level)
- You must complete a state-approved EMT course
- You must pass the NREMT cognitive exam
- You should pass a criminal background check
- You must submit all documentation through Alabama’s NEMSIS licensure portal
Step 02
Complete an Approved EMT Course
Enroll in a state-approved EMT training program, blending classroom training, such as EMS agencies, community colleges, and technical schools. If you’re searching for a course near you in Alabama, visit the ADPH EMS Education Site List.
Once you successfully complete the course, NREMT is informed about your course completion, so you can test.
Step 03
Prepare for the NREMT Cognitive Exam
Passing the NREMT cognitive exam can be one of the biggest milestones on your journey to becoming an EMT in Alabama.
This computer-based test is managed through Pearson VUE and includes 70–120 adaptive, multiple-choice questions. As of April 2025, the NREMT Basic Life Support (BLS) course covers the following five updated domains:
- Scene Size-Up and Safety
- Primary Assessment
- Secondary Assessment
- Patient Treatment and Transport
- Operations
At How To NREMT, we help you master these areas with:
- Realistic NREMT practice exams that mirror the scoring algorithm
- A full 10-step exam training plan
- On-demand AI tutoring to walk you through weak points
- Strategy-based content built specifically for first-time passers
Struggling with test anxiety or a low score? You’re not alone! Our platform is built to help you pass on the next try.
Step 04
Understand State’s Skills Requirements
Although NREMT no longer tests psychomotor skills, Alabama state EMS requires NREMT psychomotor exams to test your hands-on skills. These are administered by the state and aren’t part of the NREMT certification requirement.
Check with your local EMS office or Alabama training program to confirm if and when the this state-level skill test is required.
Step 05
Apply for Alabama EMT Licensure
Once you pass the NREMT cognitive exam and competed any state-required skills tests, you can apply for EMT licensure in Alabama through the state’s National Emergency Medical Services Information System (NEMSIS).
Follow this process:
- Create an account or log in (if you already have one) on the Alabama NEMSIS Portal
- Upload the required documents, i.e., NREMT certification, photo ID, CPR card, and background check
- Submit your application for EMT Basic licensure
Wait for approval from the Office of EMS at the Alabama Department of Public Health (ADPH)
NREMT vs. Alabama-Specific Requirements
Here’s a quick breakdown of how national certification works with state licensing:
| Requirement | NREMT | State of Alabama |
|---|---|---|
| Written (Cognitive) Exam | Required | Required |
| Practical (Psychomotor) Exam | Not required | May be required by state/local agencies |
| CPR Certification | Required | Required |
| Background Check | Required | Required for licensure |
| State Application | Not applicable | Must apply via the NEMSIS portal |
Please note: The psychomotor exam has been discontinued by NREMT as of 2022. Any hands-on skills assessment now full completely under state-specific requirements and aren’t tied to the National Registry itself.
Need Help Passing the NREMT? How To NREMT is The Ultimate Platform!
The NREMT exam isn’t easy, and you need to be prepared on all fronts to ensure successful completion. At How To NREMT, we help guide you every step of the way. Our NREMT prep courses are designed to help candidates who need a confidence boost or those looking for a second chance. Here’s what we offer:
- 10-step training program in line with the new NREMT format
- More than 2,000 NREMT practice test questions
- Live chat with an AI-EMT tutor or paramedic tutor for guidance on tough topics
- No hidden fees
At How To NREMT, our NREMT practice tests mimic the NREMT scoring system to identify weaknesses and improve your knowledge.
- Choosing a selection results in a full page refresh.