assessment, if i'm not mistaken, is only for reciprocity and things like that - transfer of medics to a different state. im challenging as an RN, so i have to take the 'assessment' test to get my state provisional license. after (if) i pass my assessment test, i go back and take my test that doesnt have 'assessment' beside it to get my NREMT-P. so if you've taken a basic course and aren't re-certifying for some reason, i dont think you should select the 'assessment' option. might want to call your state DHEC EMS division to be 100% sure.