National Registry Psychomotor Testing

The National Registry of EMTs requires that we submit the roster of confirmed names 2 weeks (14 days) prior to the test date.

Registration will close 16 days prior to the exam date in order to meet this requirement. No candidates will be added to a reservation list after the Exam Coordinator has submitted the finalized list.  This is Registry's policy and we cannot make any exceptions.

FULL PAYMENT must be received with candidate's registration. For details regarding refunds and cancellations, please refer to our NREMT refund policy. All candidates need to establish an account with NREMT prior to registering for this exam in order to obtain a Psychomotor Authorization to Test (PATT) letter number.

RETEST CANDIDATES: You may NOT register until you have received your official results from National Registry and are issued a new PATT.

For those who were required to complete remediation prior to making another attempt at the exam, you will need to submit a letter to National Registry to be issued a new PATT number prior to registering for an exam. Please contact National Registry for details 1-614-888-4484

Test Dates, Fees, and Policies

Applicants must arrive prior to 0800 hours on the test date or they will be disqualified from testing. No electronic devices are allowed in the test site building; this includes but is not limited to cell phones, tablets, laptops, iPods, etc. Anyone who is found to have an electronic device in the building will be subject to expulsion from the test site.

Test Dates 2024

Testing Fees:

Please note that online registration includes a 3% surcharge for credit card payments. Fees paid with check or money order will not include this fee.

  • Paramedic - $275.00
  • AEMT - $180.00
  • Retesting - $50.00 per station *

Items to Bring on Day of Testing

  • Government issued ID
  • Two (2) #2 Pencils
  • A copy of your Psychomotor Authorization to Test Letter (candidates CANNOT TEST WITHOUT THIS - please be advised that there are two separate letters for cognitive and psychomotor testing)



*Out of Hospital Scenario retesting is $100.00


Effective January 1, 2015

Authorizations to Test (ATT) for National EMS Certification will be valid for up to 90 days from the date of issuance, provided all other requirements for National EMS Certification are met.

What this means:

An "Authorization to Test," (ATT) declares a candidate eligible to take an NREMT exam within 90 days of issuance.  The following must occur before an ATT is generated:

1.) The candidate must create and complete an application

2.) The program director (and/or State Director if applicable) must sign off on the application indicating completion of course

3.) The candidate must pay for the exam.

With the implementation of this new policy, candidates who do not complete their cognitive examination prior to the expiration date will be required to complete a new application, including payment of the application fee.

Program directors should advise their candidates of the following:

  • Candidates should pay close attention to the update in policy as no refunds will be issued for an expired ATT regardless of the method of payment.
  • To avoid having an expired ATT, candidates should wait to pay for their exam until they are prepared to schedule and take the exam within the specified 90 day period.

Generally accepted payment methods for the exam include credit card, money order or voucher payment.  Please keep in mind that vouchers may be purchased through NREMT website and may be used up to 12 months after issuance.


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2801 Plank Rd. Fredericksburg, VA 22401
Distance from REMS Facility: 2 Miles - 5 Minutes (Driving/Vehicle)

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1060 Hospitality Lane. Fredericksburg, VA 22401
Distance from REMS Facility:
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Distance from REMS Facility:
2 Miles - 5 Minutes (Driving/Vehicle)

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Distance from REMS Facility:
2 Miles - 5 Minutes (Driving/Vehicle)

Hyatt Place
1241 Emancipation Highway, Fredericksburg, VA 22401
0.8 Miles - 3 Minutes (Driving/Vehicle)

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2206 Princess Anne St, Fredericksburg, VA 22401

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301 William St, Fredericksburg, VA 22401

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917 Caroline St, Fredericksburg, VA 22401

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806 William St, Fredericksburg, VA 22401

Sammy T’s
8001 Caroline St, Fredericksburg, VA 22401

Central Park

Panera Bread
1760 Carl D. Silver Pkwy, Fredericksburg, VA 22401

Outback Steakhouse
2941 Plank Rd, Fredericksburg, VA 22401

Chipotle Mexican Grill
3051 Plank Rd, Fredericksburg, VA 22401

Buffalo Wild Wings
1638 Carl D. Silver Parkway, Fredericksburg, VA 22401

Spotsylvania Towne Centre

Firebirds Wood Fired Grill
1 Towne Centre Boulevard, Fredericksburg, VA 22407