EMT Training - Become an Emergency Medical Technician

EMT Training Alabama

How to Become an EMT in Alabama

EMT training in Alabama is similar to many other states. Alabama EMT training starts with going through an EMT program, passing the National Registry of EMT (NREMT) exams for certification, and getting an Alabama EMT state license. Scroll down for more detailed information about each step in the Alabama EMT training process.


Alabama EMT Training

This page will also discuss the Alabama EMS protocols for EMT scope of practice skills that emergency medical technicians of all levels are allowed to perform on the job in Alabama.


EMS Levels Recognized in Alabama

Emergency Medical Responder
Emergency Medical Technician
Advanced Emergency Medical Technician
EMT Intermediate (Alabama doesn’t issue INITIAL EMT-Intermediate


Ross Chemistry Lab Alabama Auburn University
Ross Chemistry Lab

EMT Schools in Alabama 

EMT training in Alabama begins by finding an accredited Emergency Medical Technician training program. A good EMT program will prepare it’s graduates to quickly respond to emergency situations and provide life-saving care along with transport to the sick and injured.


The Alabama EMT training program should prepare it’s EMT graduates to complete patient care assessments and use the patient’s signs and symptoms to decide and complete correct patient care interventions.


A good Alabama EMT training program will teach students how to respond to automobile accidents, bleeding and shock, gunshot wounds, heart attacks, emergency childbirth, slip and fall accidents, along with many other emergency situations.


EMT schools in Alabama have a classroom portion along with clinical rotations that must be completed to graduate Alabama EMT training and be eligible for NREMT certification.


Scroll to the bottom of this page and you will find a list of accredited Alabama EMT programs with contact information.


EMT School Requirements: Alabama

The EMT requirements by state can vary for entry into an EMT program. For more detailed information about specific EMT program requirements see our EMT Program page.


Alabama EMT training programs have specific mandatory EMT school requirements which are briefly discussed below.


Student must be 18 years of age to begin EMT training in Alabama.


Student must have a High School Diploma, GED or College Degree to sign up for EMT training in Alabama.


Students signing up for Alabama EMT training must have a valid Photo ID.(Drivers License or Student Visa) If you don’t have a driver’s license contact the specific school to find out if they allow entry into the program without one.


Some Alabama EMT training candidates will have to complete COMPASS, ASSET or ACT Test – Some programs may require new students to take a math and english placement test to determine knowledge level. If you do poorly on the test, you will need to take math or english class.


Alabama EMT training students must have a CPR for the Healthcare Provider Certification – Usually needs to be through the Red Cross or American Heart Association.

Some Alabama EMT training programs offer these classes on campus at beginning of the program for around $40-$50.


Student must submit to a Drug Test and Criminal Background Screening to be accepted for EMT training in Alabama.


Current Health Insurance Card is needed for most Alabama EMT training students – Will need to carry health insurance during the entire EMT program.

Some Alabama EMT schools offer Health Insurance on Campus and some allow students to sign a waiver instead of carrying health insurance.


Student must have a current Flu shot/ H1N1 within the last year to start EMT training in Alabama.


Student must have Hepatitis B vaccinations started before beginning EMT training in Alabama – usually starting the first of three shots before the program starts is ok.


Student beginning Alabama EMT training must have a negative TB skin test within the last year – If you are prone to false positives, bring in documentation of a clear chest X-ray.


Student must have evidence of vaccine or titers for MMR and Chicken Pox to begin EMT training in Alabama.


Students beginning EMT training in Alabama must have a Tetanus, Tdap, or DPT within the last 10 years.


EMT Certification Alabama

All EMT training candidates will need to complete the National Registry of EMT exams to get their Alabama EMT certification on the National level. There are two NREMT exams, the Cognitive (aka written) and Psychomotor (aka practical) exams.


For detailed information about both NREMT exams check out our Nation Registry of EMT Exam page.


Instructors will discuss the NREMT practical exam towards the end of your Alabama EMT training at a state approved and accredited EMT school. The NREMT psychomotor exam is the first of the two exams that need to be passed in order to get your National Registry EMT certification.


Psychomotor exams in the state of Alabama are always administered to the candidate through their Alabama EMT training program. Before getting tested make sure to check out 7 tips to pass the psychomotor exam.


After completing the entire Alabama EMT training program, you will need to set up a testing date for the NREMT Cognitive exam. This can be done online and there is information about the Cognitive exam and a link to the National Registry of EMT site on our NREMT exam page (Same link from above).


If you want to get an idea about whether there are any Cognitive exam testing centers near you, go here and put in your zip code, state, etc. to find a site in your area. There is also a link there for the Military Community to find on-base testing centers.

NREMT Testing Location Site Page
Find NREMT Cognitive Exam Testing Site Locations


After passing the Cognitive exam, the National Registry will automatically send you a congratulation letter in the mail along with your EMT certification. (As long as you have already successfully passed the Psychomotor exam.)


Once you have your EMT certification you will probably ask:


Can I start working as an EMT in Alabama?


The answer is:


Not yet!


A candidate must get an EMT state license in Alabama before working as an EMT.


Alabama EMT State License

The Alabama EMT state license can also be called a state EMT certification. It’s different from the NREMT certification because the Alabama EMT certification is on a State level while the NREMT certification is on the National level.


To apply for an Alabama EMT license, candidates will need to go to the Alabama State Office of Emergency Medical Services.

Montgomery Alabama Cityscape
Montgomery, Alabama

Alabama EMT License Requirements

These requirements are for Alabama EMT, Advanced EMT, Intermediate EMT, and Paramedic licenses. The EMT, AEMT, EMT-I, and Paramedic combined are often referred to as EMSP on the Alabama EMT paperwork, which stands for Emergency Medical Services Personnel. 


The initial Alabama EMT license must be submitted in paper form, not online. However, Alabama EMT license renewals can be done online.


Every person applying for an Alabama EMT license must demonstrate U.S. citizenship. If the applicant is an alien they must prove a lawful presence in this country. – Immigration status or naturalized/derived citizenship status WILL be verified by the Alabama Department of Public Health using the SAVE Program.

Demonstration of citizenship will only be required ONE time using the Declaration of U.S. Citizenship or Lawful Presence of an Alien form.


• Complete the EMS Individual Licensure Application form.


• If this is the first application for an Alabama state license you must submit the Criminal History Release Form.


• A copy of the applicant’s National Registry of EMT Certification must be submitted.


• If this is the first application for an Alabama state license you must submit proof of knowledge of Current Alabama EMS Protocols. To find an Alabama EMS Protocols class contact one of the Alabama Regional Offices.


• Alabama EMT license fee – $12 for two-year license.


The Alabama EMT license has many paper forms and requirements, but most of them are pretty simple to comply with. The hardest part is that the Alabama EMS Office wants their forms to be filled out and typed, not hand written.


Besides that hurdle the forms are all short, but it will take a bit of organization to get all your paperwork filled out and submitted to the Alabama Office of Emergency Medical Services.


Alabama EMT License Renewal

– Alabama EMT license renewal is available online for a $2 annual fee. The Alabama Office of EMS starts accepting Renewal applications January 2nd of each year.


– Applying for Alabama EMT license renewal after April 1 of your expiration year will cause a $50 late fee to be added to the license fee.

Alabama EMT License Renewal Form
Alabama EMT License Renewal Form


EMS Scope of Practice: Alabama

The EMT scope of practice is a set of Alabama EMS protocols that guide Emergency Medical Response Personnel. EMT scope of practice helps all levels of emergency medical responders to manage emergency situations and provide the correct emergency medical care and treatment interventions for patients.


Alabama State Flag

In Alabama the Emergency Medical Technician is licensed by the Alabama Department of Public Health Office of Emergency Medical Services (ADPH OEMS). The ADHP OEMS publishes the current EMT scope of practice protocols and updates it using Revisions as needed.


EMT Scope of Practice – Medications

Alabama EMTs can’t administer many medications, but they are slowly gaining more medication permissions. Addition Alabama EMT training has allowed an addition to the EMT scope of practice.


The latest addition to the medication administration list is naloxone, which was added due to the increased number of opioid overdoses.


Here are the medications that Alabama EMT training allows basic EMTs to administer. They are listed separately from other patient care procedures and can only be used as specified in Alabama EMS protocols.


  1. EMT can administer nalaxone, aspirin, and glucose paste to patient.
  2. EMT can assist the patient in self-administration of nitroglycerine, auto-injecting epinephrine, auto-inhalers; sublingual, intranasal, and auto-injecting naloxone.
  3. Site maintenance of saline locks and heparin locks as needed.


EMT Scope of Practice – Procedures

Here is a list of patient care procedures within the Alabama EMTs scope of practice.

EMT Training Scope of Practice on Scene


  1. Can perform patient assessments, which includes taking and recording an appropriate history and vital signs.
  2. Can administer supplemental oxygen via mask or cannula.
  3. Can administer aspirin for chest pain that is suspected to be cardiac related.
  4. Can use oropharyngeal and nasopharyngeal airways.
  5. Can use a bag-valve mask.
  6. Can use a mouth to mask device while using supplemental oxygen or without supplemental oxygen.
  7. Can use pulse oximetry devices on patients.
  8. Can Open and maintain a patent airway using simple airway maneuvers. (Ex: Head-tilt, Chin-lift)
  9. Can use suctioning equipment.
  10. Can perform cardiopulmonary resuscitation.
  11. Can perform basic management of cardiac emergencies including the use of an Automated External Defibrillator. (AED)
  12. Can acquire and transmit 12-lead ECG when the AED is capable.
    Can use direct pressure, positioning, and tourniquet to control bleeding and shock.
  13. Can use hemostatic agents.
  14. Can perform bandaging.
  15. Can perform Spinal Precautions and Spinal Motion Restrictions.
  16. Can perform splinting, including applying a traction splint.
  17. Can perform joint dislocation immobilization.
  18. Can apply a pneumatic anti-shock garment. (Formerly known as Medical anti-shock trousers MAST)
  19. Can assist with emergency childbirth. This does not include any surgical procedures.
  20. Can puncture capillaries for the purpose of blood glucose monitoring.
  21. Can use an automated glucometer.EMT Moving and Lifting Patients
  22. Can perform proper moving and lifting of patients.
  23. Can extricate patients.
  24. Can assess and perform mass casualty incident triage with the use of triage tags.
  25. Can take care of scene management, such as directing traffic. Scene management activities should only be done if they do not interfere with patient care duties and law enforcement personnel are not yet on scene.
  26. Can apply Continuous Positive Airway Pressure (CPAP).

Advanced EMT Scope of Practice – Procedures


The Advanced EMT can administer all medications and perform all interventions of the EMT, in addition to the following.


  1. Can place a Blind Insertion Airway Device (BIAD).
  2. Can perform a peripheral venipuncture (IV).
  3. Can perform pediatric and adult intraosseous cannulation (IO).

Advanced EMT Scope of Practice – Medications

The following medications can be administered to patients as specified in Alabama EMS protocols.


Medications Paramedics can Give

  1. Albuterol
  2. Dextrose
  3. Diphenhydramine
  4. Epinephrine (Intramuscular only)
  5. Glucagon
  6. Naloxone
  7. Nitroglycerin
  8. Nitrous Oxide
  9. Normal Saline
  10. Ondansetron
  11. Thiamine


Intermediate EMT Scope of Practice – Procedures

An Intermediate EMT in Alabama can perform all patient care procedures and administer all medications in the EMT and the Advanced EMT Scope of Practice. The Intermediate EMT can also perform the following procedures:


  1. Can Place both oral and nasal endotracheal tubes.
  2. Can use cardiac monitoring equipment and can place electrical leads and obtain 12-Lead ECGs.
  3. Can deliver electrical therapy to patients which includes manual defibrillation and synchronized cardioversion.

Paramedic Scope of Practice – Procedures

EMT Training in Alabama Scope of Practice External Cardiac PacinEA Paramedic in Alabama is authorized to perform all patient care procedures and administer all medications as defined in the EMT, Advanced EMT, and Intermediate EMT Scope of Practice.


A Paramedic in Alabama can also perform the following additional procedures and administer the following medications:


  1. Can perform external cardiac pacing.
  2. Can place a Naso-gastric tube.
  3. Can perform Needle Decompression of a tension pneumothorax.

Paramedic Scope of Practice – Medications

  1. Can Administer medications on the list approved by the Alabama State Board of Health for such use in the EMS setting. Medications can be administered via the intranasal, intravenous, intramuscular, intraosseous, subcutaneous, sublingual, oral, rectal routes; and through inhalers and endotracheal tubes as approved for such administration by the State Board of Health.
  2. Medications must be administered within the constraints specified by the State EMS and Trauma rules, administration of medications and maintenance of I.V. drips for inter-hospital transfer patients.


Accredited EMS Programs

Here is a list of Alabama Emergency Medical Services Programs that are accredited by the Committee on Accreditation of Education Programs for the Emergency Medical Services Professions. The Alabama EMT training programs on this list are State approved EMT programs.

Alabama EMT training Alligator Alley in Alabama
Alligator Alley in Alabama


Alabama Fire College
Address: 2501 Phoenix Drive, Tuscaloosa Alabama 35405
Program Director: Bailey Price (bprice@alabamafirecollege.org)
Phone: (205) 391-3743
Fax: (205) 391-3771


Bevill State Community College
(Walker, Hamilton, and Fayette Campuses)
Address: PO Box 800, 101 State Street, Sumiton Alabama 35148
Program Director: Scott Karr (scottkarr@bellsouth.net)
Phone: (800) 648-3271, Ext: 5568
Fax: (205) 387-9782


Calhoun Community College
Address: 6250 Highway 31 North, Tanner Alabama 36671
Address: PO Box 2216, Decatur Alabama 35609-2216
Program Director: Mark Branon (msb@calhoun.edu)
Phone: (256) 306-2791
Fax: (256) 306-2909


Central Alabama Community College
Address: 34091 U.S. Highway 280, Childersburg Alabama 35044
Program Director: Dee Fuller (dfuller@cacc.edu)
Phone: (256) 378-2062
Fax: (256) 378-2046


Chattahoochee Valley Community College
Address: 2602 College Drive, Phenix City Alabama 36869
Program Director: Mark A. Boisclair (Mark.Boisclair@cv.edu)
Phone: (334) 214-4872
Fax: (334) 214-4864


Coastal Alabama Community College
Address: 1900 Highway 31 South, Bay Minette Alabama 36507
Program Director: Vince Parker (Vincent.Parker@coastalalabama.edu)
Phone: (251) 968-3113


Gadsden State Community College-McClellan Center
Address: 100A Commandants Drive, Anniston Alabama 36205
Program Director: John Hollingsworth (jhollingsworth@gadsdenstate.edu)
Phone: (256) 238-9366
Fax: (256) 238-9360


Gadsden State Community College
Address: PO Box 227, 1001 George Wallace Drive, Gadsden Alabama 35902-0227
Program Director: John Hollingsworth (jhollingsworth@gadsdenstate.edu)
Phone: (256) 549-8654
Fax: (256) 549-8276


Herzing University
Address: 280 West Valley Avenue, Birmingham Alabama 35209
Program Director: Leo J. Deason (leo.deason@bhm.herzing.edu)
Phone: (205) 916-2800
Fax: (205) 916-2807


Jefferson Davis Community College
PO Box 958Brewton Alabama 36427
2200 Alco DriveBrewton Alabama 36426
Program Director: Susan Mack (susan.mack@jdcc.edu)
Phone: (251) 867-4832
Fax: (251) 809-0178


Jefferson State Community College
Address: Jefferson Campus – 2601 Carson Road, Birmingham Alabama 35215

Shelby Campus
Address: 4600 Valleydale Road, Birmingham Alabama 35242
Program Director: James (Pete) Norris (jnorris@jeffstateonline.com)
Phone: (205) 856-6066


Lurleen B. Wallace Community College
Address: PO Box 1418, 1000 Dannelly Boulevard, Andalusia Alabama 36420
Program Director: Wayne Godwin (wgodwin@lbwcc.edu)
Phone: (334) 222-6591, Extension 2210
Fax: (334) 881-2300


Northeast Alabama Community College
Address: PO Box 159, 138 Highway 35 West, Rainsville Alabama 35986
Program Director: Tom Dixon (dixont@nacc.edu)
Phone: (256) 228-6001, Ext: 2341
Phone: (256) 638-4418, Ext: 2341
Fax: (256) 638-4418


Northwest-Shoals Community College
Address: PO Box 2545, 800 George Wallace Boulevard, Muscle Shoals Alabama 35662
Program Director: Mark Simpson (msimpson@nwscc.edu)
Phone: (256) 331-5436
Fax: (256) 331-5371


Priority Medical Training
Address: 2207 Jeff Road, Harvest Alabama 35749
Program Director: Richard Wilkinson (prioritymedicaltraining@gmail.com)
Phone: (256) 684-9189


Southern Union Community College
Address: 1701 Lafayette Parkway, Opelika Alabama 36801
Program Director: Steve Simpson (ssimpson@suscc.edu)
Phone: (334) 745-6437, Extension 5533
Fax: (334) 745-6342


H. Councill Trenholm State Community College
Address: PO Box 10048, 1225 Airbase Boulevard, Montgomery Alabama 36108
Program Director: Danny Perry (dperry@trenholmstate.edu)
Phone: (334) 420-4323
Fax: (334) 420-4437


University of South Alabama 
Address: 600 Clinic Drive, Suite 400, Mobile Alabama 36688-0002
Program Director: Amanda McDonald (avmcdonald@southalabama.edu)
Phone: (251) 431-6418
Fax: (251) 431-6525


Wallace Community College
Address: 1141 Wallace Drive, Dothan Alabama 36303
Program Director: Becky Burke (rburke@wallace.edu)
Phone: (334) 556-2442
Fax: (334) 983-3600


Wallace State Community College
Address: 801 Main Street N.W., Hanceville Alabama 35077-2000
Program Director: Allen Patterson (allen.patterson@wallacestate.edu)
Phone: (256) 352-8336
Fax: (256) 352-8320


Noccaulula Falls Alabama
Noccaulula Falls Alabama
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