Going through the same thing you are right now. This is what I would do (and I am in the process of doing it too). I'd go to DMV to grab the LiveScan paperwork, medical exam paperwork, which will also have the green card on it, and maybe buy an ambulance driver handbook. Schedule an appointment to take the ADL written test (within an hour drive range, the earliest appointment I could get was Jul 23 so you should schedule before getting the medical exam). I went to a local clinic to get an exam and it costed me $60. Gonna go get a LiveScan done again (ADL requires another LiveScan), and then on the day of the appointment, I am gonna bring all the paperwork for it and hopefully take the test and pass. Around here, it doesn't look like there are too much jobs you could get without an ADL, which is why I am going after it, but I don't know about Riverside. Here, we gotta Great America, Shoreline, and a couple of zoos that have EMTs. Hospitals are hard to get into cause they usually want people with at least 6 months experience.