NREMT Refreshers Please Read Carefully and Follow Directions Click on and complete the registration form below for the appropriate refresher level. 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 Options Course Registration EMR Refresher EMT Refresher AEMT Refresher Paramedic Refresher