How to Become a Licensed EMT

How do I become a licensed EMT in Montana? We are often asked this question here at BPM, so our team put together a step by step guide for you!

Starting at the beginning, there are some prerequisites to getting an EMT license.
- Know you will not be allowed to take the NREMT exam (the certification exam) unless you are at least 18 years old.
- You must have a valid US picture ID. (This can be a driver’s license, a passport, a student visa, etc.)
- You need to have at least a high school graduate education or a GED equivalent.
- You’ll need to acquire medical malpractice insurance before enrolling in a state approved EMT course. (You'll find a link in your registration email from us!)
- Your EMT course will require a copy of your immunization records. (Negative TB test, MMR, PPD, and Hepatitis B).
Awesome! Now that you have your prerequisites taken care of, let’s register for a state approved EMT course.
- Best Practice Medicine offers EMT courses year round at both our Bozeman and Flathead campuses.
- Register online and pay the $300 minimum deposit (or pay in full up front).
- Show up for the first night of class and agree to syllabus.
- Pay remainder of balance - and purchase course materials by the first night of the course (ask about our payment plans!)
What should you expect during your Best Practice Medicine 10-11 week EMT course?
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- You are going to receive an American Heart Association BLS Accelerated HeartCode certification. (this is required prior to testing or completing your clinical shift)
- There are 5 blocks of instruction, each with an online exam:
- Intro (1 week)
- Airway (2 weeks)
- Trauma (2 weeks)
- Medial (2 weeks)
- Special Considerations (2 weeks)
- Your homework will count as the 6th exam.
- To pass the course you may only retake one exam and a passing grade is 70% or greater.
- You have to pass the final exam
- It consists of a 3 hour written exam and a 6 hour psychomotor exam.
- Course final is held on the last Saturday of the course.
- Don’t forget to make an NREMT account and a board of medical examiners (BOME) account before the end of the course (this expedites the licensing process).

The 10-11 week EMT course will prepare you to take the NREMT exam. This is how you’ll become a certified EMT. Now, there are a few more steps to getting your license after you are certified, but we’ll get into that in the next step. The NREMT exam consists of:
- One 8-hour day of independent psychomotor exam - this is the same psychomotor exam as the course final psychomotor, but administered by an independent examiner.
- Register for and take the Pearson Vue adaptive test.
🎉 You’re a certified EMT at this point, you are almost there! One more step. 🎉

Let’s apply for your Montana EMT License. It can get tricky in this step, so pay attention carefully!
- Complete a Self Query through NPDB (National Practitioner Data Bank).
- Once you receive your self query results via mail - DO NOT OPEN.
- Put those self query results in a new envelope and mail to MT BOME. (Put your self query results envelope into a NEW envelope to mail it.)
- Apply for license through State Board of Medical Examiners (BOME)
- Finally, pay licensing fees.
🎆 Congratulations, if you follow this guide you will be a Montana licensed EMT. HOORAY. 🎆
“It’s not about why you became an EMT, it’s why you stayed.”
-K. Box