Student Enrollment Form

First Name

Last Name

Email to be used for Course

Cell Phone Number

I checking &

Mailing Address

City, State & Zip Code

How did you hear about us?

If selected above, please provide the name of the social media platform or influencer.

The American Academy of Medical Careers LLC uses multiple venues for communicating with students. Below are the forms used by the organization. By checking each of the respective boxes, I am authorizing the American Academy of Medical Careers LLC and its duly appointed representatives to contact me in the relative manner. I recognize that I can cancel or add by emailing administration@medicalcareerpath.com.

I agree to cell phone and text communication.
I agree to email communication.

By selecting the checkboxes below, I acknowledge, confirm, and agree to the following:

I confirm that I am a high school graduate or have earned a recognized high school equivalency credential, such as a GED®, HiSET®, or equivalent state-recognized credential.
I confirm that I am at least 18 years of age.
I understand that this course is intended to prepare me for the CPC exam but does not guarantee passing the exam.
I understand that course materials will be provided digitally, and the current edition of three additional books (CPT, HCPCS Level II, and ICD-10-CM) will be shipped to me at address provided on this form.
I acknowledge that I am responsible for establishing online access and ensuring system compatibility.
By submitting this enrollment form, I acknowledge and agree to the applicable terms and conditions, refund policy, and enrollment requirements provided on this form and on the American Academy of Medical Careers LLC website. I further confirm my enrollment in the Certified Professional Coder (CPC) Exam Preparation Course.
I understand that the course is subject to a 6-day money-back guarantee, as described in the applicable refund policy. I also agree to pay the full tuition for the course. Upon receipt and processing of my full tuition payment, American Academy of Medical Careers LLC will send a confirmation email with course access instructions.