UCLA David Geffen School of Medicine
Center for Prehospital Care
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Registering as a student with UCLA CPC allows you to sign up for classes online and to keep track of your participation in the center's educational programs.
Please provide the following information:
* indicates required

First Name: *
Last Name: *
User Name:
 *
Password:
 *
Confirm Password:
 *
Professional Affiliation: (i.e. LAPD, LAFD)
Social Security
Number(SSN):		 --
The Los Angeles County Department of Health Services (DHS) EMS Agency requires students to provide their social security number to become certified/licensed as an EMT or Paramedic. Students who do not provide their social security number, will need to present it to DHS to become certified/licensed.
Address 1: *
Address 2:
City: *
State/Province: * Or Province:

Zip/Postal Code:

 *
Country:
Phone: *
Mobile:
Fax:
Email: *
I understand that all correspondence from the Center for Prehospital Care including the class location, map, and confirmation letter will be delivered to the email address I have provided

Note: To ensure that you continue to receive timely and relevant email communications from UCLA Center for Prehospital Care, simply add "cpc@mednet.ucla.edu" to your email address book.
   
Please select a license:
(Enter License number, if available,
in the textbox provided)

License No.  
 
 
  Click "Continue" to view and confirm the above information.
 
 
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