Student Forms HCI Links 
Applications
Transcript Request Form
Medical Form for EMT/Paramedics AS EMS Degree Enrollment Form
AS Degree Fire Enrollment Form
FDLE Consent (EMT/Paramedic)Bring Applications to :1764 North Congress AveWest Palm Beach, Florida 33409Speak With an Adviser Today! 561-586-0121 HCI Forms
Some user will experience issues downloading and viewing the EMT forms. We've used the most recent PDF conversion application, and will require that you download the most recent Adobe Acrobat Reader to view the files.
With younger versions of the viewer, some form may toss an error inside the browser due to compatibility issues. You can also download the files and open then with the strict viewer, rather than the internet browser viewer.
Speak with someone today if you having additional trouble. 561-586-0121
HCI Forms
Admission Applications:
Print a student checklist with your application
Fire Science Application and Fire Science Enrollment Agreement
EMS (EMT/Paramedic) Application and EMT/Paramedic Enrollment Agreement
A.S Fire Science Application and AS Fire Science Enrollment Agreement
A.S EMS Application and AS EMS Enrollment Agreement
General Forms:
Transcript Request Form
Grievance Policy and
Complaint Form
Refund Policy and
Student Checklist with application requirements
EMT-Basic \ Medic:
Evaluation (completed by preceptor each day the student goes to field/hospital
EMT Field and Externship Log (Only EMT's should download this form)
Paramedic hospital log Paramedics Hospital only Do Not Use for Field/EMT's
Drug Information Paramedics only
Paramedic Field Log
Paramedics Only Filled out in Field, signed by preceptors
Addresses/Directions of Fire Departments (EMT/Paramedic)
EMT/Paramedic Patient Care Reports
(Every patient for field/hospital)
SOAP Format for writing narratives for patient contact reports (EMT and Paramedic)
Request more info about our Programs Today! 561-586-0121 
1764 North Congress Ave West Palm Beach, Florida 33409
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