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Medical Assistant Enrollment Document

📝 Important: Fulfill and Sign this Enrollment Contract
Before completing your purchase, you must sign this enrollment contract to secure your spot in the course. This step is required for compliance with healthcare training regulations and ensures your commitment to the program. Once signed, you will be redirected to finalize your checkout and officially begin your journey with WMTC.

Student Full Name

Student Phone Number

Student Email

Student Date of Birth (must be 18 years or older to enroll)

Student Address

Student Driver's License or Government Issued ID

Student Social Security Number

Student Educational Background

Desired MA Program

Scrub Size

Do you have any felony convictions? If the answer is yes, please refer to your state’s specific licensure or certification qualification and disqualification guidelines. If you have any questions or concerns, please schedule a time to meet with an administrative staff member.

Program Payment Agreement: Upon enrollment in our MA program, be advised that all fees paid, including the mandatory non-refundable registration fee, must be paid in full prior to the agreed end date of the program otherwise a student will not be eligible to test or complete their program. All fees paid towards the program are non-refundable. The mandatory registration fee, otherwise referred to as the deposit, is applied directly towards your total tuition. A student must either pay in full for their MA program by their orientation date by 11:59 p.m. PST or they may enroll in the payment plan option. Regardless of the schedule, the MA program costs a total of $2,500.00* as of 01/02/25. If a student decides to enroll in the payment plan, the timeline is as follows:

Deposit: $300.00

Installment One: $550.00 on Orientation Day by 11:59 p.m. PST

Installment Two: $550.00 on Monday/Saturday of 3rd Week by 11:59 p.m. PST

Installment Three: $550.00 on Monday/Saturday of 5th Week by 11:59 p.m. PST

Installment Three: $550.00 on Monday/Saturday of 7th Week by 11:59 p.m. PST

*Pricing is subject to change and may vary for enrollments completed during promotional events or special offers.

Any installment that is received late is subject to a fee of $20.00 a day until that installment is paid in full. There is no penalty for paying off a payment plan early. The Certificate of Completion will be withheld until the tuition is paid in full.

This policy and procedure are crucial in maintaining the high quality and integrity of our educational offerings. By proceeding with your enrollment, you acknowledge and accept this policy and procedure.

Program Completion Agreement: By enrolling in the MA program, you are committing to completing the program within the specified duration of the program. Failure to complete the program within the agreed upon timeframe, without obtaining and approved extension by the school director, may lead to the loss of progress and certification eligibility. This commitment underscores the students’ dedication to their personal and professional growth through our educational offerings. Below outlines the two different schedules the Medical Assistant program is offered as. Please note, this is a hybrid program, and the first three portions of the course will be held virtually. The fourth portion of the course is in-person, and the students must attend campus during their designated course time.

MA 101A (M-F, 8 a.m. – 12 p.m.)

MA101B (M-F, 4 p.m. – 8 p.m.)

Cancellation Policy: If WMTC cancels your program prior to their orientation day, the student will be refunded all money collected towards tuition, including their deposit, within 30 business days. If the program is rescheduled, this does not constitute the program being cancelled if the rescheduled date is within 90 days of the original start date.

If a student needs to withdraw their enrollment in their program, the student must drop the program at least 10 or more business days prior to the start date of the program. If the student does not drop prior to 10 or more business days before the start date of their program, they will still be responsible to pay their tuition amount in full. If a student does not show up on their first day of the program, this does not mean that the student is dropped from the program. A student who does not show up to the first day of their program without following the student drop policy will be liable for their full tuition. If a student decides to cancel their enrollment in a program after the start date, they will not be entitled to a refund of any kind and are responsible for the remaining balance on their account. The registration fee, otherwise referred to as the deposit, is not transferable to another course/schedule. If a student decides to move programs, they must pay another non-refundable deposit to ensure registration.

Student Drop Process:

Student must submit intent to drop, otherwise referred to as withdraw or cancel, in writing to the school director.
The school director will review the notice and the student’s enrollment agreement.
If approved, the student will be notified of any financial obligations they have to WMTC as part of their agreement and confirmation of their dropped program.

Collections Policy: A student account may be sent to collections if payment is not received for their tuition, or excessive late payments occur. It is a student’s responsibility to ensure their payments are received by Western Medical Training Center on-time and in full. If a student’s account is sent to collections, the student will receive a surcharge of 30% of whatever their unpaid remaining tuition balance is to cover collections charges.

Academic Probation and Dismissal Policy: The following constitute grounds for dismissal from their program. These rules and regulations are valid for the theory, lab, and externship portions of the program.

(Theory) Two or more absences from their program. The MA program is an accelerated program meaning each day of instruction is full of necessary content. It is critical for a student’s success in the program to attend every class session in full.
- If a student would like additional tutoring, they have the option to schedule 1:1 tutoring with an instructor for $40.00 an hour.
(Lab) One or more absences from their program. The MA program is an accelerated program meaning each day of instruction is full of necessary content. It is critical for a student’s success in the program to attend every class session in full.
- If a student would like additional tutoring, they have the option to schedule 1:1 tutoring with an instructor for $40.00 an hour.
Three tardies of more than 15 minutes may be considered to equivalent of one classroom absence. Timeliness is calculated into the student’s overall grade and is necessary for students to receive all educational material. It is critical for a student’s success in the program to attend every class session in full. Tardiness exceeding 30 minutes may be recorded as a full absence.
- If a student would like additional tutoring, they have the option to schedule 1:1 tutoring with an instructor for $40.00 an hour.
Disruptive behavior which includes, but is not limited to, use of foul language, insubordination, failure to comply with rules, possession of drugs, intoxication, sleeping in class, and so on.
Failure to attend all hours of the program.
Academic dishonesty

This is not an exhaustive list of activities that may lead to a student being dismissed or put on probation. If a student is placed on probation or dismissed from their program, they are still liable for their tuition and will receive an incomplete grade.

Externship Guidelines: Externship is where a student must secure a site (doctor’s office, hospital, clinic, etc.) to complete 120 unpaid hours. This allows students to practice the skills learned in class and ensure they are eligible to sit for the National Certification Exam. Western Medical Training Center will provide a set of guidelines and resources for students to help support them through their externship. However, it is a student’s responsibility to communicate with potential sites, secure their site, and ensure that they complete all necessary hours. Western Medical Training Center does have partner sites where students may have the opportunity to complete their externship after mutual agreement between themselves and the site. All sites must be approved by Western Medical Training Center before a student can begin their externship.

NOTICE CONCERNING TRANSFERABILITY OF CREDITS AND CREDENTIALS

The transferability of credits you earned at Western Medical Training Center is at the complete discretion of an institution to which you may seek to transfer. Acceptance of the program completion certificate you earn in our school training programs is also at the complete discretion of the institution to which you may seek to transfer. If the credits or certificate that you earn at this institution are not accepted at the institution to which you seek to transfer you may be required to repeat some or all your coursework at that institution. For this reason, you should make certain that your attendance at this institution will meet your educational goals. This may include contacting an institution to which you may seek to transfer after attending Western Medical Training Center to determine if your credits or certificate will transfer.

Bureau For Private Post Secondary Education: A student or any member of the public may file a complaint about this institution with the Bureau For Private Post Secondary Education by calling (888)-370-7580 or by completing a complaint form which can be obtained on the Bureau’s website: https://www.bppe.ca.gov/about_us/contact.shtml.

Course Materials: Students will receive one set of scrubs included in their tuition and may purchase additional sets. The course is based on a textbook that students can purchase as a hard copy or e-book online or from various stores. All materials for lab will be provided for the student but a student may be liable for costs of replacement if they damage or remove these items from campus.

Certification and License: The school’s educational programs lead to knowledge and skills for the state programs. We do not guarantee that our education programs will necessarily be sufficient to obtain any certification or licenses issued by a state, public or private agency. Certification and licenses may require additional study and costs. A third party may administer the examination and further study and a fee may be required.

Severability: If any paragraph, sub-paragraph, provision, or clauses is held invalid, said invalidity shall not affect any other paragraph, sub-paragraph, provision, or clause that can have effect without being invalidated paragraph, sub-paragraph, provision, or clause, and thus is severable one from the other.

Use of Artificial Intelligence (AI): The institution may utilize artificial intelligence (AI) technologies to enhance educational services, administrative processes, and student support. These technologies may be used for, but are not limited to, personalized learning experiences, automated feedback, predictive analytics, and communication tools. By enrolling, the student acknowledges and consents to the use of AI systems in accordance with applicable laws and institutional policies. The institution is committed to ensuring transparency, data privacy, and ethical use of AI, and will take reasonable measures to safeguard student information and uphold academic integrity.

Dispute Resolution Between Instructor and Student: In the event of a disagreement or dispute between an instructor and a student arising from academic instruction, grading, conduct, or any other matter related to the course or enrollment, both parties agree to first attempt resolution through informal discussion. If the matter cannot be resolved informally, the dispute shall be submitted in writing to the designated academic coordinator or program administrator for mediation.

Should mediation fail to resolve the issue, the dispute may be escalated to the institution’s formal grievance process, as outlined in the Student Handbook or institutional policy. All parties agree to abide by the final decision rendered through this process. The institution encourages respectful communication and timely resolution of conflicts to maintain a positive learning environment.

Photo Release and Release of Information: By signing this agreement, you authorize any organization or person, whether listed on this document, to verify information you provided the institution. This may include financial institutions, student loan services agencies, guarantee agencies, US Department of Education, credit bureaus. You authorize us to use any statements you write, any videos, or any photos the school takes for advertisements, publications, or social media that we may publish from time to time.

Please check yes if you agree to the above terms regarding the photo release and release of information section.

I verify that the stated information in this enrollment agreement is true and accurate to the best of my knowledge. I agree that the course enrollment procedure and explanation of tuition and fees has been fully explained to me. I acknowledge that I will receive a copy of the enrollment agreement form and agree to all the information covered in said agreement. I agree this document is binding and I will uphold all aspects detailed above.

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Signed by Damien Weston
Signed On: December 11, 2025

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September 4, 2024 2:26 pm PST

Medical Assistant Enrollment Document Uploaded by Mikaela Schaefer - connect@equiphs.com IP 107.204.0.170

September 5, 2024 2:25 pm PST

Document owner support@equiphs.com has handed over this document to miwanyc@equiphs.com 2024-09-05 14:25:09 - 99.38.233.72

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January 14, 2025 3:05 pm PST