NREMT Refreshers Please Read Carefully and Follow Directions Click REGISTRATION and complete and choose your level of refresher. Click on the appropriate level patch for content required to complete for each level. Click RECERT to order the content annual subscription ($51.95 + tax). The Vitale fee will be paid at completion. After RECERT purchase, JBLearning will send receipt email. Do not look for an access code for this. Click here for INSTRUCTIONS to set up account. Course Fees Payment - Once you have registered, Vitale will send you a Paypal invoice that can be paid by any electronic payment method. Course Registration