Medical Assisting Enrollment Agreement

This agreement is entered into on this 07/13/2024, between    

APLMED ACADEMY (“Academy”) and __________ __________.

Program Fees

Cost of program is payable by check, credit card or money order made payable to APLMED ACADEMY. Please be sure the applicant’s full name is written on the check. Checks retuned due to insufficient funds will be assessed a $25.00 fee. Student account must have a zero balance at the end of class term to be able to continue on to clinicals.

Tuition: $4500.00

Registration Fee $100.00

Equipment/Supplies $100.00

Total Cost of Program $4700.00

Deposit of $500.00 is due at the time of registration. You may also elect to pay in full or come in to the facility to schedule payment arraignments of the remaining cost minus deposit. Late fee of $50.00 will apply to each late payment.


The Academy assists in placing students to an externship site within three (3) months after the classroom training if students volunteer and meet all requirements for the externship. Externships are limited in availability and student must meet certain criteria to be considered. The school will inform the student of the date and time of the externship in a timely matter and the student must be available. Students have the option of completing the program without the externship to receive a certificate of completion. Students who do participate in the externship must successfully complete the externship to receive a certificate of completion.

Students’ conduct requirements for externship:

Patient and student safety is of utmost importance. Therefore, if the instructor believes that actions demonstrated by the student could jeopardize either the student’s or patient’s safety, the student will not be allowed to start/continue the externship. The student must meet the following criteria to be considered for an externship:

  1. Demonstrate sufficient emotional stability to withstand the stresses, uncertainties, and changing circumstances that characterize patient/clients and their families.

  2. Exercise sound judgment, accept direction and guidance from a supervisor or faculty member and establish and maintain sensitive interpersonal relationships with employees, patients/clients and their families.

  3. Demonstrate excellent communication skills (reading, writing, and listening comprehension) in the English language.

  4. Ability to work under stress and respond appropriately in emergencies or unexpected situations.

  5. Demonstrate fine motor skills required to successfully perform blood draws, process specimens (operating mechanical and computerized equipment) and perform clerical duties.


Postponement of Start Date

Postponement of start date, whether at the request of the school or the student, requires a written agreement signed by the student and the school. The agreement must set forth:

      a) whether the postponement is for the convenience of the school or student and, 

      b.) a deadline for the new start date, beyond which the start date will not be postponed.

If the course is not commenced or the student fails to attend by the new start date set forth in the agreement, the student will be entitled to an appropriate refund of prepaid tuition and fees within 30 days of the deadline of the new start date set forth in the agreement, determined in accordance with the school’s refund policy and all applicable laws and rules concerning the Private Occupational Education Act of 1981.


Attempting to resolve any issue with the school first is strongly encouraged.  Complaints may be filed by a student or guardian at any time online with the Division of Private Occupational Schools (DPOS) within two years from the student’s last date of attendance or at any time prior to the commencement of training at http://highered.colorado.gov/dpos, 303-862-3001. All student complaints submitted to the Division must be in writing and “shall be filed within two years after the student discontinues training at the school.”

Refund policy

Students not accepted to the school are entitled to all monies paid. Students who cancel this contract by notifying the school within three (3) business days are entitled to a full refund of all tuition and fees paid. Students, who withdraw after three (3) business days, but before commencement of classes, are entitled to a full refund of all tuition and fees paid except the maximum cancellation charge of $150.00 or 25% of the contract price whichever is less. In the case of students withdrawing after commencement of classes, the school will retain the cancellation charge plus a percentage of tuition and fees, which is based on the percentage of number of lessons completed in the Program, as described in the table below. The refund is based on the official date of termination or withdrawal.

Student is entitled upon withdrawal/termination

Within first 10% of program                      90% less cancellation charge
After 10% but within first 25% of program 75% less cancellation charge
After 25% but within first 50% of program 50% less cancellation charge
After 50% but within first 75% of program 25% less cancellation charge
After 75%  [if paid in full, cancellation charge is not applicable]  NO Refund
  1. The student may cancel this contract at any time prior to midnight of the third business day after signing this contract.
  2. All refunds will be made within 30 days from the date of termination. The official date of termination or withdrawal of a student shall be determined in the following manner:

           a) The date on which the school receives notice of the student’s intention to discontinue the training program; or

            b) The date on which the student violates published school policy, which provides for termination;

            c) Should a student fail to return from an excused leave of absence, the effective date of termination for a student on an extended leave of absence or a leave of                               absence is the earlier of the date the school determines the student is not returning or the day following the expected return date.

       4. The student will receive a full refund of all tuition & fees paid if the school discontinues a program/standalone course within a period of time that the student could                have reasonably completed it, except that this provision shall not apply in the event the school ceases operation.

        5. The policy for granting credit for previous training shall not impact the refund policy.


  1. Administration has the right to not accept students into externships who have missed classes. Students understand they are not allowed to miss more than 30 hours of class.

  2. A student who misses a class with a valid reason must bring supporting documentation.

  3. APLMED Academy has the right to expel a student missing 30 hours or more of class without a refund.

  4. Students must behave respectively and professionally to the teacher, school staff and staff of the externship.

  5. Student must wear scrubs to all classes.

  6. All the books are a property of AplMed Academy which is complementary rented to students. Books have to return by the end of the course. Writing in the books is not permitted. For any damages there will be an additional fee from $20.00 to $50.00 depending on damage.


I understand that I am to provide the required documents:

  • High school diploma, GED or a copy of college transcripts;

  • Government -issued State ID (driver’s license, passport, military ID, matriculate consular);

  • Social Security Card,

By signing below, the Student agrees to pay APLMED ACADEMY the total stated tuition, supplies, and equipment. The Academy agrees to provide the occupational training in accordance with the provisions of the Academy’s current Catalog Volume No. 3, dated December 5th 2016. Payment of all monies due shall be a condition of continuing enrollment. Upon satisfactory completion of all academic and skill requirements, and when all financial obligations to the Academy have been met, the Academy will award the CERTIFICATE OF COMPLETION to the Student. The Student and Academy understand that this Enrollment Agreement, WHICH INCLUDES THE REFUND POLICY, may not be amended except in writing and signed by both parties.

Payer information.

First Name*
Last Name*
Email Address*
Zip Code*
Payment Method*
Credit Card Number*
Expiration Date (MM/YY)*
Security Code*


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