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ECC

Emergency Cardiovascular Care


Course Card
Reference Guide
90-1801
3/11
This card
contains uniq
ue security features to p
rotect against forgery.
P
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a
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e
P
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i
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This card certifies that the above individual has successfully
com
pleted the cognitive and skills evaluations in accordance w
ith
the curriculum
of the Am
erican H
eart Association B
LS for H
ealthcare
Providers (C
PR
and AED
) Program
.
Issue Date
Recom
m
ended Renewal Date
H
E
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Training
TC
ID
#
C
enter N
am
e
TC

TC
Info C
ity, State ZIP
Phone
C
ourse
Location
Instructor
Inst. ID
#
N
am
e
H
olders
Signature
2011 American Heart Association Tampering with this card will alter its appearance. 90-1801
90-1806
3/11
This card
contains uniq
ue security features to p
rotect against forgery.
P
E
E
L
H
E
R
E
A
C
L
S
P
r
o
v
i
d
e
r
This card certifies that the above individual has successfully
com
pleted the cognitive and skills evaluations in accordance
w
ith the curriculum
of the Am
erican H
eart Association Advanced
C
ardiovascular Life Support (AC
LS) Program
.
Issue Date
Recom
m
ended Renewal Date
A
D
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C
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Training
TC
ID
#
C
enter N
am
e
TC

TC
Info C
ity, State ZIP
Phone
C
ourse
Location
Instructor
Inst. ID
#
N
am
e
H
olders
Signature
2011 American Heart Association Tampering with this card will alter its appearance. 90-1806
November 2013
90-1817
3/11
This card
contains uniq
ue security features to p
rotect against forgery.
P
E
E
L
H
E
R
E
TC

TC
ID
#
Alignm
ent
TC

TC
Address
Phone
TC
C
ity, State
ZIP
Instructor
ID
#
H
olders
Signature
2011 American Heart Association Tampering with this card will alter its appearance. 90-1817
This card certifies that the above individual is an Am
erican Heart
Association Pediatric Advanced Life Support (PALS) Instructor.
Issue Date
Expiration Date
P
A
L
S

I
N
S
T
R
U
C
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O
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90-1815
3/11
S
trike through the m
od
ules N
O
T
com
p
leted
.
This card
contains uniq
ue security features to p
rotect against forgery.
P
E
E
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F
ir
s
t
A
id

C
P
R
A
E
D
This card certifies that the above individual has successfully completed the objectives
and skills evaluations in accordance with the curriculum of the AHA Heartsaver First Aid
CPR AED Program. Optional completed modules are those NOT marked out:
Child CPR AED



Infant CPR



Written test
Issue Date
Recom
m
ended Renewal Date
H
E
A
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T
S
A
V
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F
IR
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T
A
ID
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ID
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Training
TC
ID
#
C
enter N
am
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TC

TC
Info C
ity, State ZIP
Phone
C
ourse
Location
Instructor
Inst. ID
#
N
am
e
H
olders
Signature
2011 American Heart Association Tampering with this card will alter its appearance. 90-1815
Cont ent s
i
Preface ii
General Information 1
Security Features 1
Guidelines for Card Completion 2
Front of Card, 2006 and Later 2
Back of Card, 2006-2010 3
Back of Card, 2011 and Later 3
Duplication/Replacement of Lost Cards 3
Course Card Tip Sheets and Templates 3
Military Training Network 4
BLS HCP 6
BLS National Faculty 6
BLS Regional Faculty 6
BLS Training Center Faculty 7
BLS Instructor 7
BLS Healthcare Provider 8
Heartsaver 9
Heartsaver Instructor 9
Heartsaver Skills Evaluator 10
Heartsaver CPR AED 10
Heartsaver First Aid 11
Heartsaver First Aid CPR AED 12
Heartsaver Pediatric First Aid CPR AED 13
Heartsaver Pediatric First Aid 13
Heartsaver CPR AED in Schools 14
Heartsaver CPR in Schools 14
ACLS 15
ACLS National Faculty 15
ACLS Regional Faculty 15
ACLS Training Center Faculty 16
ACLS Instructor 16
ACLS Provider 17
ACLS EP 18
ACLS EP Training Center Faculty 18
ACLS EP Instructor 18
ACLS Experienced Provider 19
PALS 20
PALS National Faculty 20
PALS Regional Faculty 20
PALS Training Center Faculty 21
PALS Instructor 21
PALS Provider 22
PEARS 23
PEARS Instructor 23
PEARS Provider 23
Course Card Index 24
International 25
Spanish 25
Portuguese 25
Irish Heart Foundation 26
Council on Resuscitation of Southern Africa 26
Heart and Stroke Foundation of Canada 27
International Course Card Index 28
2013 American Heart Association
Pr ef ace
ii
Preface
The Emergency Cardiovascular Care Course Card Reference Guide is a quality control tool to be used
with American Heart Association (AHA) course cards. It is not a policy document. See the 2012
Emergency Cardiovascular Care Program Administration Manual: Guidelines for Program Administration
and Training (PAM), both US and international versions, for specifc criteria, guidelines, and policy
for issuing course cards. The PAMs are available on the AHA Instructor Network website at
www.ahainstructornetwork.org and are for Training Centers (TCs) and instructors.
AHA Emergency Cardiovascular Care (ECC) course cards are described throughout this Guide. This
Guide includes samples of available cards for each discipline. Quality Control Checkpoints aid the user by
providing the date the card was introduced, the date the card was withdrawn from use, and how long the
card is recognized.
Course cards are available only to authorized TCs with a confdential security code issued by AHA National
Center ECC Programs. Each student who successfully completes an AHA ECC credentialed course must be
issued the appropriate course card, which bears an AHA logo. The TC conducting the course is responsible
for card issuance and security through its instructors and Training Sites. Each TC must document how
it maintains card security and accountability. Duplicate course cards are managed by the TC issuing the
original card.
For clarifcation on issues addressed in this Guide or to verify the status of the TC that issued a card,
please contact the ECC Customer Support Center at 1-877-242-4277, option 4.
Gener al I nf or mat i on
General Information
This section describes cards issued for courses that use criteria and materials from the 2010 American Heart
Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. The 2010
cards include BLS Instructor and BLS Healthcare Provider, March 2011; Heartsaver

Instructor, Heartsaver
CPR AED, Heartsaver First Aid, and Heartsaver First Aid CPR AED, April 2011; ACLS Instructor and ACLS
Provider, May 2011; PALS Instructor and PALS Provider, October 2011; PEARS

Provider, June 2012; ACLS EP


Instructor and ACLS Experienced Provider, April 2013; PEARS Instructor, May 2013; and Heartsaver
Pediatric First Aid CPR AED, July 2013.
Security Features
Card layout: Each sheet of cards is formatted for printing both sides at the same time. The completed card can
be peeled from the sheet and folded to form a 3
3
8 2
1
8-inch card.
Color designation: Each discipline is designated by a color stripe at the top edge of both sides. BLS and
Heartsaver are blue, ACLS and ACLS EP are red, and PALS and PEARS are purple.
Copyright: All cards have a copyright year of 2006 or later.
Highlighted personalization: The cards have highlighted areas for the name, issue date, and renewal date.
Tampering with these areas will alter the appearance of the card.
Microprint: All cards with a copyright year of 2006 or later use security microprinting for the information lines.
For cards produced in 2006 through 2010, each line is the repeated text AMERICANHEARTASSOCIATION.
For cards produced in 2011 and later, the card name in the top bar is the repeated text. For example, the
microprint on the BLS Instructor card is BLSINSTRUCTORBLSINSTRUCTOR (see Figure 1).
Viewing microprint: The microprint can be viewed with a loupe or magnifying glass, such as that in Figure 2.
1
90-1801 3/11
This card contains unique security features to protect against forgery.
PEEL
HERE
Heal t hcare
Provi der
This card certifies that the above individual has successfully
completed the cognitive and skills evaluations in accordance with
the curriculum of the American Heart Association BLS for Healthcare
Providers (CPR and AED) Program.
Issue Date Recommended Renewal Date
H E A L T H C A R E P R O V I D E R H E A L T H C A R E P R O V I D E R
Training TC ID #
Center Name
TC TC
Info City, State ZIP Phone
Course
Location
Instructor Inst. ID #
Name
Holders
Signature
2011 American Heart Association Tampering with this card will alter its appearance. 90-1801
90-1801 3/11
This card contains unique security features to protect against forgery.
PEEL
HERE
Heal t hcare
Provi der
This card certifies that the above individual has successfully
completed the cognitive and skills evaluations in accordance with
the curriculum of the American Heart Association BLS for Healthcare
Providers (CPR and AED) Program.
Issue Date Recommended Renewal Date
H E A L T H C A R E P R O V I D E R H E A L T H C A R E P R O V I D E R
Training TC ID #
Center Name
TC TC
Info City, State ZIP Phone
Course
Location
Instructor Inst. ID #
Name
Holders
Signature
2011 American Heart Association Tampering with this card will alter its appearance. 90-1801
Guidelines for Card Completion
The AHA requires that course cards have information that is complete and legible. It is recommended that all cards
be stamped, typed, or computer printed to reduce the risk of cards being altered. It is permissible for only the front
of the card to be legibly handwritten (student name, issue date, and recommended renewal date). The handwritten
information must be printed in blue or black ink. All information on the back of the card must be stamped, typed, or
computer printed. The content of AHA course cards cannot be altered in any way.
AHA course cards must be completed as follows:
Front of Card, 2006 and Later
The course name is preprinted on the card.
Indicate the students name (eg, frst name, middle initial, and
last name).
Strike through or fll in the circles for modules NOT completed,
if applicable.
Indicate the issue date as a 2-digit month and day, and
4-digit year (01/15/2013).
Indicate the recommended renewal/expiration date, 2 years
from the issue date (2-digit month and 4-digit year, 01/2015;
no exceptions).
90-1815 3/11
Strike through the modules NOT completed.
This card contains unique security features to protect against forgery.
PEEL
HERE
Hear t saver

First Aid CPR AED


This card certifies that the above individual has successfully completed the objectives
and skills evaluations in accordance with the curriculum of the AHA Heartsaver First Aid
CPR AED Program. Optional completed modules are those NOT marked out:
Child CPR AED Infant CPR Written test
Issue Date Recommended Renewal Date
HEARTSAVER FIRST AID CPR AED HEARTSAVER FIRST AID CPR AED
Training TC ID #
Center Name
TC TC
Info City, State ZIP Phone
Course
Location
Instructor Inst. ID #
Name
Holders
Signature
2011 American Heart Association Tampering with this card will alter its appearance. 90-1815
Figure 1. Security microprint. Figure 2. A loupe or a magnifying glass can
be used to view the security microprint.
90-1800 3/11
This card contains unique security features to protect against forgery.
PEEL
HERE
TC TC ID #
Alignment
TC TC
Address Phone
TC
City, State ZIP
Instructor
ID #
Holders
Signature
2011 American Heart Association Tampering with this card will alter its appearance. 90-1800
This card certifies that the above individual is an American Heart
Association Basic Life Support (BLS) Instructor.
Issue Date Expiration Date
B L S I N S T R U C T O R
BLS
I nst r uct or

B L S I N S T R U C T O R
BLSINSTRUCTORBLSINSTRUCTORBLSINSTRUCTOR
2
Gener al I nf or mat i on
Gener al I nf or mat i on
Back of Card, 2006-2010
Indicate the name of the TC.
Indicate the TCs address and contact information.
Indicate the location of the course.
Indicate the frst and last name of the Course Director/Lead Instructor (must be legible).
The student must sign his or her name in black or blue ink.
Back of Card, 2011 and Later
All of the following items are required unless otherwise noted:
Indicate the name of the TC.
Indicate the TCs AHA identifcation number.
Indicate the TCs address and contact information.
Indicate the location of the course. Provide a general description of where the course was conducted.
Indicate the Instructor ID number.
All information on the back of the card must be stamped, typed, or computer printed. It cannot be handwritten.
On provider cards, indicate the Directors/Instructors AHA Instructor Network identifcation number.
On instructor cards, indicate the receiving instructors AHA Instructor Network identifcation number (required
by January 1, 2012). The instructor identifcation number should be for the person whose name is on the front
of the card.
The person who has completed the course must sign his or her name in black or blue ink. A missing signature
does not invalidate the card.
Duplication/Replacement of Lost Cards
It is the responsibility of the TC to issue a duplicate card if a card is lost, is mutilated, or otherwise becomes unus-
able. All requests for duplicate or replacement cards must be submitted directly to the Training Center Coordinator
(TCC) who issued the original card. The Course Director or Lead Instructor may advise the student to contact the TC
that issued the original card, or the instructor may do so. The TC may set a fee for reissuing a card.
Course Card Tip Sheets and Templates
Only TCCs can access course card tip sheets and templates on the AHA Instructor Network website at
www.ahainstructornetwork.org. To use the card templates, you will need Adobe Reader, which can be
downloaded, for free, from Adobes website at get.adobe.com/reader/.
Each package of course cards comes with a tip sheet, and printed on the back is a practice sheet. Make extra copies
of the practice sheet to test the alignment of the template before printing on the course cards.
3
Gener al I nf or mat i on
Military Training Network (United States Only)
Since 1984, the AHA has recognized the Military Training Network (MTN) for Resuscitative Medicine Programs as
equivalent to an AHA ECC region and national TC.
The MTN coordinates resuscitative medicine programs for the uniformed services. The Department of Defense
Health Council at the Uniformed Services University of the Health Sciences established these programs for the
uniformed services.
For more information go to www.usuhs.mil/mtn/.
MTN Provider Certicates/Cards
MTN provider cards for AHA courses are the equivalent of the corresponding AHA provider card (the MTN uses the
AHA curricula).
These cards are recognized within the Department of Desfense.
These cards may not bear the AHA logo.
MTN provider cards should be recognized by AHA TCs and Training Sites (TSs) when renewing provider status of
Department of Defense personnel.
The MTN may issue AHA provider cards.
A person with a current MTN provider card may attend a discipline-specifc AHA renewal or update course.
4
MILITARYTRAININGNetworkBLSCARDS
3Totalcards:Provider,Heartsaver CPRAEDandTrainingSiteFaculty
MTN BLS Healthcare Provider card MTN Heartsaver CPR AED card
MILITARYTRAININGNetworkACLSCARDS
3Totalcards:OldProvider,NewProviderandTrainingSiteFaculty
RevisedDec2012
Utilizeduntilsupplyexhausted
MTN ACLS Provider card, valid until further notice MTN ACLS Provider card, revised December 2012
and valid until further notice
MILITARYTRAININGNetworkBLSCARDS
3Totalcards:Provider,Heartsaver CPRAEDandTrainingSiteFaculty
MILITARYTRAININGNetworkACLSCARDS
3Totalcards:OldProvider,NewProviderandTrainingSiteFaculty
RevisedDec2012
Utilizeduntilsupplyexhausted
MTN Instructor Cards
The MTN issues AHA Instructor cards.
MTN Instructors who wish to teach outside the MTN must align with a civilian TC and meet its affliation require-
ments. These instructors will have dual instructor status and alignment and will issue cards appropriate to their
audiences.
MTN Instructors must meet all TC and MTN training requirements to maintain their status. All courses may count
toward teaching requirements in both systems. It is the instructors responsibility to ensure that the MTN site and
the TC are provided with course rosters.
MTN Training Site Faculty Cards
The MTN appoints TS Faculty rather than TC Faculty or Regional Faculty.
MTN TS Faculty appointments are not recognized outside the MTN and are not transferable to a civilian TC. An MTN
TS Faculty member who aligns with a civilian TC will need to work with the new TC to establish TC Faculty status.
MILITARYTRAININGNetworkPALSCARDS
3Totalcards:PALSProvider,PEARSProviderandTrainingSiteFaculty
MTN PALS Provider card MTN PEARS Provider card
MILITARYTRAININGNetworkPALSCARDS
3Totalcards:PALSProvider,PEARSProviderandTrainingSiteFaculty
Gener al I nf or mat i on
5
MILITARYTRAININGNetworkBLSCARDS
3Totalcards:Provider,Heartsaver CPRAEDandTrainingSiteFaculty
MTN BLS Training Site Faculty card MTN ACLS Training Site Faculty card
MILITARYTRAININGNetworkPALSCARDS
3Totalcards:PALSProvider,PEARSProviderandTrainingSiteFaculty
MTN PALS Training Site Faculty card
MILITARYTRAININGNetworkACLSCARDS
3Totalcards:OldProvider,NewProviderandTrainingSiteFaculty
RevisedDec2012
Utilizeduntilsupplyexhausted
BLS HCP
BLS HCP (Basic Life Support for Healthcare Providers)
BLS National Faculty
BLS National Faculty (NF) members are BLS Instructors appointed by their respective National ECC
Committees. BLS NF members are responsible for quality assurance and are the educational leadership
for the BLS Program within their regions instructor network. NF members are key resources for the
Regional ECC Committee. The NF status is a region-specifc volunteer appointment and is not transferable
between regions or states. This card is not an acceptable substitute for an instructor card and does not verify
instructor status dates.
Quality Control Checkpoints
Issue date beginning July 2007
Term of appointment
Valid until further notice
Cards are hard plastic
Back of Card
AHA ECC mission statement
Signature of appointed NF member (in ink)
BLS National Faculty
John Doe
Term: July 2011 June 2012
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John Doe
has been appointed as a Basic Life Support National Faculty
for the American Heart Association XXXXXX Region.
Term: July 2011 June 2012
Jane Doe PROAD Chair
BLS
National
Faculty
BLS National Faculty
John Doe
Term: July 2011 June 2012
John Doe
has been appointed as a Basic Life Support National Faculty
for the American Heart Association XXXXXX Region.
Term: July 2011 June 2012
Jane Doe PROAD Chair
BLS
National
Faculty
BLS National Faculty
John Doe
Term: July 2011 June 2012
John Doe
has been appointed as a Basic Life Support National Faculty
for the American Heart Association XXXXXX Region.
Term: July 2011 June 2012
Jane Doe PROAD Chair
BLS
National
Faculty
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BLS Regional Faculty
BLS Regional Faculty (RF) members are BLS Instructors appointed by their respective Regional ECC
Committees. BLS RF members are responsible for quality assurance and are the educational leadership for
the BLS Program within their regions instructor network. RF members are key resources for the regions TCs.
The RF status is a region-specifc volunteer appointment and is not transferable between regions or states.
This card is not an acceptable substitute for an instructor card and does not verify instructor status dates.
BLS Regional Faculty
John Doe
Term: July 2011 June 2012
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John Doe
has been appointed as a Basic Life Support Regional Faculty
for the American Heart Association XXXXXX Region.
Term: July 2011 June 2012
Jane Doe, ECC Regional Committee Chair
BLS
Regional
Faculty
BLS Regional Faculty
John Doe
Term: July 2011 June 2012
John Doe
has been appointed as a Basic Life Support Regional Faculty
for the American Heart Association XXXXXX Region.
Term: July 2011 June 2012
Jane Doe, ECC Regional Committee Chair
BLS
Regional
Faculty
BLS Regional Faculty
John Doe
Term: July 2011 June 2012
John Doe
has been appointed as a Basic Life Support Regional Faculty
for the American Heart Association XXXXXX Region.
Term: July 2011 June 2012
Jane Doe, ECC Regional Committee Chair
BLS
Regional
Faculty
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Quality Control Checkpoints
Issue date beginning July 2007
Valid until further notice
Term of appointment
Cards are hard plastic
Back of Card
AHA ECC mission statement
Signature of appointed RF member (in ink)
6
National Faculty cards produced and distributed by AHA National Center
Regional Faculty cards produced and distributed by AHA National Center
BLS Training Center Faculty
BLS Training Center Faculty (TCF) members are appointed by their respective TCs. BLS TCF members are re-
sponsible for quality assurance and are the educational leadership for all BLS courses within their TC network.
TCF members conduct instructor courses, monitor new and renewing instructors, and conduct updates for the
TCs instructors. The BLS TCF card and certifcate are not an acceptable substitute for an instructor card and
do not verify instructor status. The TCF certifcate/card template that TCs use when appointing TCF members
in their respective disciplines is accessible on the Instructor Network to TCCs only. The TCF document is set up
to auto-populate the card template at the bottom of the certifcate. You will only need to complete the certifcate
portion and then print and place it in the instructors record. You may issue the auto-populated card to the TCF.
Quality Control Checkpoints
Issue dates beginning June 2010
Valid until further notice
Name of the appointing TC
Term of the appointment (eg, 1/2010-1/2012)
First and last name of the TCC
Name of region
Important Reminders
TCF cards are not a replacement for AHA Instructor cards. If an
instructor is appointed as a TCF by the TCC, he or she is to be
issued a current instructor card, and it must be kept in the TCs
records.
The designation of TCF is not transferable to other TCs.
BLS
Training Center Faculty
has been appointed as a
Basic Life Support Training Center Faculty
for the American Heart Association.
TC Name TC Coordinator
Term Region
KJ1048 BLS 3/13
BLS Instructor
BLS Instructors teach lifesaving CPR, AED, and frst aid courses for the medical and nonmedical communities.
Although BLS Instructors are not required to have a medical background to teach, most instructors are in a
healthcare feld. BLS Instructors can teach BLS for Healthcare Providers and all Heartsaver courses. Instructor
cards are available exclusively to authorized TCs for issuance in accordance with AHA policy.
90-1800 3/11
This card contains unique security features to protect against forgery.
PEEL
HERE
TC TC ID #
Alignment
TC TC
Address Phone
TC
City, State ZIP
Instructor
ID #
Holders
Signature
2011 American Heart Association Tampering with this card will alter its appearance. 90-1800
This card certifies that the above individual is an American Heart
Association Basic Life Support (BLS) Instructor.
Issue Date Expiration Date
B L S I N S T R U C T O R
BLS
I nst r uct or

B L S I N S T R U C T O R
Quality Control Checkpoints
Issue date beginning March 23, 2011
Valid until further notice
Expiration date 2 years from month of issue
This card supersedes cards 70-2916 and 70-2904
Associated Materials for Instructors
BLS for Healthcare Providers Instructor Manual
BLS for Healthcare Providers Student Manual
2010 Handbook of Emergency Cardiovascular Care for
Healthcare Providers
Heartsaver First Aid CPR AED Instructor Manual
Heartsaver Pediatric First Aid CPR AED Instructor Manual
Heartsaver First Aid, CPR AED, First Aid CPR AED, and
Pediatric First Aid CPR AED Student Workbooks
90-1800 3-card 90-1807 2-card self-mailer
TCF certifcate, card, and template are available only
to TCCs, through the AHA Instructor Network.
BLS HCP
7
8
BLS HCP
BLS Healthcare Provider
The BLS for Healthcare Providers Course teaches both single-rescuer and team basic life support skills for
application in both in- and out-of-hospital settings. This course trains participants to promptly recognize
several life-threatening emergencies, give high-quality chest compressions, deliver appropriate ventilations,
and provide early use of an AED. It includes adult, child, and infant rescue techniques. Provider cards are
available exclusively to authorized TCs for issuance in accordance with AHA policy.
70-2915 R1/08
Training
Center
TC Address
Contact Info
Course
Location
Instructor
Holders
Signature
2000 American Heart Association Tampering with this card will alter its appearance. 70-2915
Heal t hcar e Pr ovi der
This card certifies that the above individual has successfully
completed the national cognitive and skills evaluations in
accordance with the curriculum of the American Heart Association
for the BLS for Healthcare Providers (CPR & AED) Program.
Issue Date Recommended Renewal Date
90-1801 3/11
This card contains unique security features to protect against forgery.
PEEL
HERE
Heal t hcare
Provi der
This card certifies that the above individual has successfully
completed the cognitive and skills evaluations in accordance with
the curriculum of the American Heart Association BLS for Healthcare
Providers (CPR and AED) Program.
Issue Date Recommended Renewal Date
H E A L T H C A R E P R O V I D E R H E A L T H C A R E P R O V I D E R
Training TC ID #
Center Name
TC TC
Info City, State ZIP Phone
Course
Location
Instructor Inst. ID #
Name
Holders
Signature
2011 American Heart Association Tampering with this card will alter its appearance. 90-1801
Quality Control Checkpoints
Issue date beginning March 23, 2011
Valid until further notice
Renewal date 2 years from month of issue
This card supersedes cards 70-2915 and 70-2903
Quality Control Checkpoints
Issue date beginning March 2001
Valid through June 30, 2013
Not valid for issue after June 30, 2011
70-2915 3-card 70-2903 2-card self-mailer
90-1801 3-card 90-1802 2-card self-mailer
Quality Control Checkpoints
Issue date beginning March 2001
Valid through June 30, 2013
Not valid for issue after June 30, 2011
70-2916 R12/08
Training Center
Alignment
TC Address
Contact Info
Course
Location
TC
Coordinator
Holders
Signature
2000 American Heart Association Tampering with this card will alter its appearance. 70-2916
BLS I nst r uct or
This card certifies that the above individual has successfully
completed the national cognitive and skills evaluations in
accordance with the curriculum of the American Heart Association
for the Basic Life Support (CPR/AED) Instructor Program.
Issue Date Expiration Date
70-2916 3-card 70-2904 2-card self-mailer
9
Hear t saver
Heartsaver

Heartsaver Instructor
Heartsaver Instructors teach lifesaving CPR, AED, and frst aid courses for the nonmedical community.
Heartsaver Instructors are not required to have a medical background to teach. Instructor cards are available
exclusively to authorized TCs for issuance in accordance with AHA policy.
80-1205 R1/08
Training Center
Alignment
TC Address
Contact Info
Course
Location
Instructor
Holders
Signature
2000 American Heart Association Tampering with this card will alter its appearance. 80-1205
Hear t saver I nst r uct or
This card certifies that the above individual has successfully
completed the objectives and skills evaluations in accordance
with the curriculum of the American Heart Association for the
Heartsaver Instructor Program.
Issue Date Expiration Date
PEEL
HERE
This card contains unique security features to protect against forgery.
90-1816 3/11
This card contains unique security features to protect against forgery.
PEEL
HERE
TC TC ID #
Alignment
TC TC
Address Phone
TC
City, State ZIP
Instructor
ID #
Holders
Signature
2011 American Heart Association Tampering with this card will alter its appearance. 90-1816
This card certifies that the above individual is an American Heart
Association Heartsaver Instructor.
Issue Date Expiration Date
Hear t saver

I nst r uct or

HEARTSAVER INSTRUCTOR HEARTSAVER INSTRUCTOR
Quality Control Checkpoints
Issue date beginning April 26, 2011
Valid until further notice
Expiration date 2 years from month of issue
This card supersedes cards 80-1205 and 80-1213
Associated Materials for Instructors
Heartsaver First Aid CPR AED Instructor Manual
Heartsaver Pediatric First Aid CPR AED Instructor Manual
Heartsaver First Aid, CPR AED, First Aid CPR AED, and
Pediatric First Aid CPR AED Student Workbooks
Quality Control Checkpoints
Issue date beginning May 2002
Valid through July 31, 2013
Not valid for issue after July 31, 2011
80-1205 3-card 80-1213 2-card self-mailer
90-1816 3-card
Quality Control Checkpoints
Issue date beginning spring 2009
Discontinued May 7, 2013
Not valid after August 30, 2013
Heartsaver Skills Evaluator
Alan Carrington, MD
Term: July 2009 June 2010
N
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Heartsaver Skills Evaluator
Alan Carrington, MD
Term: July 2009 June 2010
Heartsaver Skills Evaluator
Alan Carrington, MD
Term: July 2009 June 2010
John Doe
HEARTSAVER
Skills Evaluator
has completed the national cognitive and skills objectives of the
American Heart Association Heartsaver Skills Evaluator program.
Term: MMMM YYYYMMMM YYYY ID#: 1234567890
Authorizing Training Center: Heartland ECC Training, Dallas TX
TC ID: AAA1234 Phone: 214-706-1717
John Doe
HEARTSAVER
Skills Evaluator
has completed the national cognitive and skills objectives of the
American Heart Association Heartsaver Skills Evaluator program.
Term: MMMM YYYYMMMM YYYY ID#: 1234567890
Authorizing Training Center: Heartland ECC Training, Dallas TX
TC ID: AAA1234 Phone: 214-706-1717
HEARTSAVER
Skills Evaluator
John Doe
has completed the national cognitive and skills objectives of the
American Heart Association Heartsaver Skills Evaluator program.
Term: MMMM YYYYMMMM YYYY ID#: 1234567890
Authorizing Training Center: Heartland ECC Training, Dallas TX
TC ID: AAA1234 Phone: 214-706-1717
8
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80-1216 3-card
Heartsaver CPR AED
Heartsaver CPR AED is a course that teaches adult CPR and AED use, as well as how to relieve choking in an
adult. This course teaches skills with the AHAs research-proven practice-while-watching technique, which
allows instructors to observe the students, provide feedback, and guide the students learning of skills. Infant
and child modules are optional. Provider cards are available exclusively to authorized TCs for issuance in
accordance with AHA policy.
Quality Control Checkpoints
Issue date beginning April 26, 2011
Valid until further notice
Renewal date 2 years from month of issue
This card supersedes cards 80-1203 and 80-1211
Strike through modules NOT completed
Completed modules are unmarked and visible
Adult CPR AED must be taught if child CPR AED is taught
90-1813 3/11
PEEL
HERE
Hear t saver

CPR AED
This card certifies that the above individual has successfully completed the objectives
and skills evaluations in accordance with the curriculum of the AHA Heartsaver CPR AED
Program. Optional completed modules are those NOT marked out:
Child CPR AED Infant CPR Written test
Issue Date Recommended Renewal Date
HEART SAVER CPR AED

HEART SAVER CPR AED
Training TC ID #
Center Name
TC TC
Info City, State ZIP Phone
Course
Location
Instructor Inst. ID #
Name
Holders
Signature
2011 American Heart Association Tampering with this card will alter its appearance. 90-1813
Strike through the modules NOT completed.
This card contains unique security features to protect against forgery.
90-1813 3-card 90-1810 2-card self-mailer
Hear t saver
10
Heartsaver Skills Evaluator

This card has been discontinued and is no longer available. It will not be valid after August 30, 2013. The roles
and responsibilities have been transferred to Heartsaver Instructor or BLS Instructor status.
Quality Control Checkpoints
Issue date beginning October 2011
Discontinued May 7, 2013
Not valid after August 30, 2013
90-1822 9/11
This card contains unique security features to protect against forgery.
PEEL
HERE
TC TC ID #
Alignment
TC TC
Address Phone
TC
City, State ZIP
Instructor
ID #
Holders
Signature
2011 American Heart Association Tampering with this card will alter its appearance. 90-1822
This card certifies that the above individual is an American Heart
Association Heartsaver Skills Evaluator.
Issue Date Expiration Date
Hear t saver

Ski l l s Eval uator



HEARTSAVER SKILLS EVALUATOR HEARTSAVER SKILLS EVALUATOR
90-1822 3-card
11
Hear t saver
Heartsaver First Aid
Heartsaver First Aid is a course that teaches students critical skills to respond to and manage an emergency in
the frst few minutes until emergency medical services (EMS) arrives. Students learn skills such as how to treat
bleeding, sprains, broken bones, shock, and other frst aid emergencies. Provider cards are available exclusively
to authorized TCs for issuance in accordance with AHA policy.
Quality Control Checkpoints
Issue date beginning April 26, 2011
Valid until further notice
Renewal date 2 years from month of issue
This card supersedes cards 80-1202 and 80-1208
Strike through modules NOT completed
Completed modules are unmarked and visible
This course is for First Aid only and does not include
CPR AED
90-1814 3/11
PEEL
HERE
Hear t saver

Fi r st Ai d
This card certifies that the above individual has successfully completed
the objectives and skills evaluations in accordance with the curriculum of
the AHA Heartsaver First Aid Program.
Optional Module completed if NOT marked out: Written test
Issue Date Recommended Renewal Date
HEARTSAVER FI RST AI D HEARTSAVER FI RST AI D
Training TC ID #
Center Name
TC TC
Info City, State ZIP Phone
Course
Location
Instructor Inst. ID #
Name
Holders
Signature
2011 American Heart Association Tampering with this card will alter its appearance. 90-1814
Strike through the modules NOT completed.
This card contains unique security features to protect against forgery.
90-1814 3-card 90-1809 2-card self-mailer
The previous Heartsaver First Aid course taught rescuers to effectively recognize and treat adult emergencies
in the critical frst minutes until EMS personnel arrive. The course covered general principles of basic frst aid,
medical emergencies, and injury emergencies. Optional modules included environmental emergencies, adult
and child CPR and AED, and infant CPR.
Quality Control Checkpoints
Issue date beginning January 2003
Valid through July 31, 2013
Not valid for issue after July 31, 2011
Renewal date 2 years from month of issue
Modules NOT completed are shaded
Completed modules are unmarked and visible
AAdult First Aid
BEnvironmental Emergencies
CAdult/Child CPR With Mask
DAdult/Child AED
EInfant CPR With Mask
Training
Center
TC Address
Contact Info
Course
Location
Instructor
Holders
Signature
2006 American Heart Association Tampering with this card will alter its appearance. 80-1202
Hear t saver

Fi r st Ai d

This card certifies that the above individual has successfully completed the
objectives and skills evaluations in accordance with the curriculum of the AHA
for Heartsaver First Aid Program.
Modules Completed: A B C D E
Issue Date Recommended Renewal Date
80-1202 R3/08
PEEL
HERE
Fill in the circles of the modules NOT completed. This card contains unique security features to protect against forgery.
80-1202 3-card 80-1208 2-card self-mailer
Heartsaver First Aid CPR AED
Heartsaver First Aid CPR AED is a course that teaches students critical skills needed to respond to and manage
a frst aid, choking, or sudden cardiac arrest emergency in the frst few minutes until EMS arrives. Students
learn skills such as how to treat bleeding, sprains, broken bones, shock, and other frst aid emergencies. This
course also teaches adult CPR and AED use. Infant and child modules are optional. Provider cards are available
exclusively to authorized TCs for issuance in accordance with AHA policy.
Quality Control Checkpoints
Issue date beginning April 26, 2011
Valid until further notice
Renewal date 2 years from month of issue
This card supersedes cards 80-1202 and 80-1208
Strike through modules NOT completed
Completed modules are unmarked and visible
90-1815 3/11
Strike through the modules NOT completed.
This card contains unique security features to protect against forgery.
PEEL
HERE
Hear t saver

First Aid CPR AED


This card certifies that the above individual has successfully completed the objectives
and skills evaluations in accordance with the curriculum of the AHA Heartsaver First Aid
CPR AED Program. Optional completed modules are those NOT marked out:
Child CPR AED Infant CPR Written test
Issue Date Recommended Renewal Date
HEARTSAVER FIRST AID CPR AED HEARTSAVER FIRST AID CPR AED
Training TC ID #
Center Name
TC TC
Info City, State ZIP Phone
Course
Location
Instructor Inst. ID #
Name
Holders
Signature
2011 American Heart Association Tampering with this card will alter its appearance. 90-1815
90-1815 3-card 90-1820 2-card self-mailer
12
Hear t saver
13
Hear t saver
Heartsaver Pediatric First Aid
Heartsaver Pediatric First Aid is a modular course for the child care industry and others requiring a credential in
pediatric frst aid. Students learn how to manage illness and injuries in a child in the frst few minutes until
professional help arrives. The course covers frst aid basics and medical, injury, and environmental emergencies.
Quality Control Checkpoints
Issue date beginning May 2006
Valid through October 31, 2015
Not valid for issue after October 31, 2013, and is
superseded by cards 90-1824 and 90-1825
Renewal date 2 years from month of issue
Modules NOT completed are shaded
Completed modules are unmarked and visible
APediatric First Aid
BAsthma Care Training for Childcare Providers
COptional Pediatric First Aid Topics
DAdult/Child CPR With Mask
EAdult/Child AED
FInfant CPR With Mask
Training
Center
TC Address
Contact Info
Course
Location
Instructor
Holders
Signature
2006 American Heart Association Tampering with this card will alter its appearance. 80-1201

This card certifies that the above individual has successfully completed the
objectives and skills evaluations in accordance with the curriculum of the AHA
for Heartsaver Pediatric First Aid Program.
Modules Completed: A B C D E F
Issue Date Recommended Renewal Date
80-1201 R3/08
PEEL
HERE
Fill in the circles of the modules NOT completed. This card contains unique security features to protect against forgery.
Heartsaver

Pediatric First Aid


80-1201 3-card 80-1209 2-card self-mailer
Heartsaver Pediatric First Aid CPR AED
Heartsaver Pediatric First Aid CPR AED is a course for the child care industry and others requiring a credential
in pediatric frst aid, CPR, and AED use. Students learn how to manage illness and injuries in a child in the frst
few minutes until professional help arrives. The course covers frst aid basics and medical, injury, and environ-
mental emergencies along with adult CPR and AED use. Provider cards are available exclusively to authorized
TCs for issuance in accordance with AHA policy.
Quality Control Checkpoints
Issue date beginning July 31, 2013
No longer available for purchase after December 10, 2013
Valid until further notice
Renewal date 2 years from month of issue
Superseded by card 90-1825
This card has 3 modules to select from
Strike through modules NOT completed
Completed modules are unmarked and visible
90-1824 9/12
Strike through the modules NOT completed.
This card contains unique security features to protect against forgery.
PEEL
HERE
Hear t saver

Pediatric First Aid


CPR AED
HEARTSAVER PEDIATRIC FIRST AID CPR AED HEARTSAVER PEDIATRIC FIRST AID CPR AED
Training TC ID #
Center Name
TC TC
Info City, State ZIP Phone
Course
Location
Instructor Inst. ID #
Name
Holders
Signature
2012 American Heart Association Tampering with this card will alter its appearance. 90-1824
This card certifies that the above individual has successfully completed the objectives
and skills evaluations in accordance with the curriculum of the AHA Heartsaver Pediatric
First Aid CPR AED Program. Optional completed modules are those NOT marked out:
Adult CPR AED Written Test Asthma Care Video
Issue Date Recommended Renewal Date
90-1824 3-card
Quality Control Checkpoints
Issue date beginning December 10, 2013
Valid until further notice
Renewal date 2 years from month of issue
This card supersedes card 90-1824
This card has 5 modules to select from
Strike through modules NOT completed
Completed modules are unmarked and visible
90-1825 10/13
Strike through the modules NOT completed.
This card contains unique security features to protect against forgery.
PEEL
HERE
Hear t saver

Pediatric First Aid


CPR AED
HEARTSAVER PEDIATRIC FIRST AID CPR AED HEARTSAVER PEDIATRIC FIRST AID CPR AED
Training TC ID #
Center Name
TC TC
Info City, State ZIP Phone
Course
Location
Instructor Inst. ID #
Name
Holders
Signature
2013 American Heart Association Tampering with this card will alter its appearance. 90-1825
This card certifies that the above individual has successfully completed the objectives
and skills evaluations in accordance with the curriculum of the AHA Heartsaver Pediatric
First Aid CPR AED Program. Completed modules are those NOT marked out:
Pediatric First Aid Child/Infant CPR AED Adult CPR AED Written Test Asthma Care Video
Issue Date Recommended Renewal Date
90-1825 3-card
Heartsaver CPR in Schools
Heartsaver CPR in Schools is designed to teach middle and high school students lifesaving CPR and AED
skills. Especially designed with the teen audience in mind, the course appeals to students through a unique
training video featuring teen interviews and edgy video footage. The course is presented in several modules,
giving schools the fexibility to teach the course over several class periods.
Quality Control Checkpoints
Issue date beginning April 2006
Valid through December 31, 2013
Not valid for issue after December 31, 2011
Renewal date 2 years from month of issue
Modules NOT completed are shaded
Completed modules are unmarked and visible
AAdult/Child CPR and Choking
BAdult/Child AED
CInfant CPR and Choking
DAdult/Child CPR With Mask
EInfant CPR With Mask
Training
Center
TC Address
Contact Info
Course
Location
Instructor
Holders
Signature
2006 American Heart Association Tampering with this card will alter its appearance. 80-1200
Heartsaver

CPR in Schools

This card certifies that the above individual has successfully completed the
objectives and skills evaluations in accordance with the curriculum of the AHA
for Heartsaver CPR in Schools Program.
Modules Completed: A B C D E
Issue Date Recommended Renewal Date
80-1200 R12/08
PEEL
HERE
Fill in the circles of the modules NOT completed. This card contains unique security features to protect against forgery.
80-1200 3-card
14
Hear t saver
Heartsaver CPR AED in Schools
Heartsaver CPR AED in Schools uses the Heartsaver First Aid CPR AED course to teach middle and high
school students critical skills needed to respond to and manage a sudden cardiac arrest, choking, or frst aid
emergency in the frst few minutes until EMS arrives. This course teaches adult CPR and AED use. Infant and
child modules are optional. Students may also learn skills such as how to treat bleeding, sprains, broken bones,
shock, and other frst aid emergencies. The course is presented in several modules, giving schools and AHA
Instructors the fexibility to teach the course over several class periods. Provider cards are available exclusively
to authorized TCs for issuance in accordance with AHA policy.
Quality Control Checkpoints
Issue date beginning September 8, 2011
Valid until further notice
Renewal date 2 years from month of issue
This card supersedes card 80-1200
Strike through modules NOT completed
Completed modules are unmarked and visible
90-1821 8/11
PEEL
HERE
Hear t saver

CPR AED
i n School s
This card certifies that the above individual has successfully completed the objectives
and skills evaluations in accordance with the curriculum of the AHA Heartsaver CPR AED
Program. Optional completed modules are those NOT marked out:
Child CPR AED Infant CPR First Aid Written test
Issue Date Recommended Renewal Date
HEARTSAVER CPR AED IN SCHOOLS HEARTSAVER CPR AED IN SCHOOLS
Training TC ID #
Center Name
TC TC
Info City, State ZIP Phone
Course
Location
Instructor Inst. ID #
Name
Holders
Signature
2011 American Heart Association Tampering with this card will alter its appearance. 90-1821
Strike through the modules NOT completed.
This card contains unique security features to protect against forgery.
90-1821 3-card
ACLS
ACLS (Advanced Cardiovascular Life Support)
ACLS National Faculty
ACLS National Faculty (NF) members are ACLS Instructors appointed by their respective National ECC
Committees. ACLS NF members are responsible for quality assurance and are the educational leadership
for the ACLS Program within their regions instructor network. NF members are key resources for the Regional
ECC Committee. The NF status is a region-specifc volunteer appointment and is not transferable between
regions or states. This card is not an acceptable substitute for an instructor card and does not verify instructor
status dates.
Quality Control Checkpoints
Issue date beginning July 2007
Term of appointment
Valid until further notice
Cards are hard plastic
Back of Card
AHA ECC mission statement
Signature of appointed NF member (in ink)
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ACLS National Faculty
John Doe
Term: July 2011 June 2012
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John Doe
has been appointed as an Advanced Cardiovascular Life Support
National Faculty for the American Heart Association XXXXXX Region.
Term: July 2011 June 2012
Jane Doe PROAD Chair
ACLS
National
Faculty
ACLS National Faculty
John Doe
Term: July 2011 June 2012
John Doe
has been appointed as an Advanced Cardiovascular Life Support
National Faculty for the American Heart Association XXXXXX Region.
Term: July 2011 June 2012
Jane Doe PROAD Chair
ACLS
National
Faculty
ACLS National Faculty
John Doe
Term: July 2011 June 2012
John Doe
has been appointed as an Advanced Cardiovascular Life Support
National Faculty for the American Heart Association XXXXXX Region.
Term: July 2011 June 2012
Jane Doe PROAD Chair
ACLS
National
Faculty
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ACLS Regional Faculty
ACLS Regional Faculty (RF) members are ACLS Instructors appointed by their respective Regional ECC
Committees. ACLS RF members are responsible for quality assurance and are the educational leadership
for the ACLS Program within their regions instructor network. RF members are key resources for the regions
TCs. The RF status is a region-specifc volunteer appointment and is not transferable between regions or states.
This card is not an acceptable substitute for an instructor card and does not verify instructor status dates.
N
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ACLS Regional Faculty
John Doe
Term: July 2011 June 2012
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John Doe
has been appointed as an Advanced Cardiovascular Life Support
Regional Faculty for the American Heart Association XXXXXX Region.
Term: July 2011 June 2012
Jane Doe, ECC Regional Committee Chair
ACLS
Regional
Faculty
ACLS Regional Faculty
John Doe
Term: July 2011 June 2012
John Doe
has been appointed as an Advanced Cardiovascular Life Support
Regional Faculty for the American Heart Association XXXXXX Region.
Term: July 2011 June 2012
Jane Doe, ECC Regional Committee Chair
ACLS
Regional
Faculty
ACLS Regional Faculty
John Doe
Term: July 2011 June 2012
John Doe
has been appointed as an Advanced Cardiovascular Life Support
Regional Faculty for the American Heart Association XXXXXX Region.
Term: July 2011 June 2012
Jane Doe, ECC Regional Committee Chair
ACLS
Regional
Faculty
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Quality Control Checkpoints
Issue date beginning July 2007
Valid until further notice
Term of appointment
Cards are hard plastic
Back of Card
AHA ECC mission statement
Signature of appointed RF member (in ink)
15
National Faculty cards produced and distributed by AHA National Center
Regional Faculty cards produced and distributed by AHA National Center
ACLS Training Center Faculty
ACLS Training Center Faculty (TCF) members are appointed by their respective TCs. ACLS TCF members are
responsible for quality assurance and are the educational leadership for all ACLS courses within their TC network.
TCF members conduct instructor courses, monitor new and renewing instructors, and conduct updates for the
TCs instructors. The ACLS TCF card and certifcate are not an acceptable substitute for an instructor card and
do not verify instructor status. The TCF certifcate/card template that TCs use when appointing TCF members
in their respective disciplines is accessible on the Instructor Network to TCCs only. The TCF document is set up
to auto-populate the card template at the bottom of the certifcate. You will only need to complete the certifcate
portion and then print and place it in the instructors record. You may issue the auto-populated card to the TCF.
Quality Control Checkpoints
Issue dates beginning June 2010
Valid until further notice
Name of the appointing TC
Term of the appointment (eg, 1/2010-1/2012)
First and last name of the TCC
Name of region
Important Reminders
TCF cards are not a replacement for AHA Instructor cards. If an
instructor is appointed as a TCF by the TCC, he or she is to be
issued a current instructor card, and it must be kept in the TCs
records.
The designation of TCF is not transferable to other TCs.
ACLS Instructor
ACLS Instructors teach the ACLS Provider Course. Instructor cards are available exclusively to authorized
TCs for issuance in accordance with AHA policy.
90-1804 3/11
This card contains unique security features to protect against forgery.
PEEL
HERE
This card certifies that the above individual is an American Heart
Association Advanced Cardiovascular Life Support (ACLS) Instructor.
Issue Date Expiration Date
A C L S I N S T R U C T O R
ACLS
I nst r uct or
A C L S I N S T R U C T O R
TC TC ID #
Alignment
TC TC
Address Phone
TC
City, State ZIP
Instructor
ID #
Holders
Signature
2011 American Heart Association Tampering with this card will alter its appearance. 90-1804

Quality Control Checkpoints
Issue date beginning May 10, 2011
Valid until further notice
Expiration date 2 years from month of issue
This card supersedes cards 70-2909 and 70-2921
Associated Materials for Instructors
Advanced Cardiovascular Life Support Instructor Manual
Advanced Cardiovascular Life Support Provider Manual
2010 Handbook of Emergency Cardiovascular Care
for Healthcare Providers
90-1804 3-card 90-1803 2-card self-mailer
TCF certifcate, card, and template are available only
to TCCs, through the AHA Instructor Network.
ACLS
Training Center Faculty
has been appointed as an
Advanced Cardiovascular Life Support Training Center Faculty
for the American Heart Association.
TC Name TC Coordinator
Term Region
KJ1048 ACLS 3/13
ACLS
16
ACLS
17
ACLS Provider
The ACLS Provider Course is designed to teach providers the knowledge and skills needed to evaluate and
manage cardiovascular emergencies, stroke, and respiratory arrest. Provider cards are available exclusively to
authorized TCs for issuance in accordance with AHA policy.
Quality Control Checkpoints
Issue date beginning May 10, 2011
Valid until further notice
Renewal date 2 years from month of issue
This card supersedes cards 70-2908 and 70-2920
Quality Control Checkpoints
Issue date beginning May 2001
Valid through June 30, 2013
Not valid for issue after June 30, 2011
70-2920 R1/08
Training
Center
TC Address
Contact Info
Course
Location
Instructor
Holders
Signature
2000 American Heart Association Tampering with this card will alter its appearance. 70-2920
ACLS Pr ovi der
This card certifies that the above individual has successfully
completed the national cognitive and skills evaluations in
accordance with the curriculum of the American Heart Association
for the Advanced Cardiovascular Life Support Program.
Issue Date Recommended Renewal Date
70-2920 3-card 70-2908 2-card self-mailer
90-1806 3-card 90-1805 2-card self-mailer
90-1806 3/11
This card contains unique security features to protect against forgery.
PEEL
HERE
ACLS
Provi der
This card certifies that the above individual has successfully
completed the cognitive and skills evaluations in accordance
with the curriculum of the American Heart Association Advanced
Cardiovascular Life Support (ACLS) Program.
Issue Date Recommended Renewal Date
ADVANCED CARDIOVASCULAR LIFE SUPPORT ADVANCED CARDIOVASCULAR LIFE SUPPORT
Training TC ID #
Center Name
TC TC
Info City, State ZIP Phone
Course
Location
Instructor Inst. ID #
Name
Holders
Signature
2011 American Heart Association Tampering with this card will alter its appearance. 90-1806
Quality Control Checkpoints
Issue date beginning March 2001
Valid through June 30, 2013
Not valid for issue after June 30, 2011
70-2921 R12/08
Training Center
Alignment
TC Address
Contact Info
Course
Location
TC
Coordinator
Holders
Signature
2000 American Heart Association Tampering with this card will alter its appearance. 70-2921
ACLS I nst r uct or
This card certifies that the above individual has successfully
completed the national cognitive and skills evaluations in
accordance with the curriculum of the American Heart Association
for the Advanced Cardiovascular Life Support Instructor Program.
Issue Date Expiration Date
70-2921 3-card 70-2909 2-card self-mailer
ACLS EP (ACLS for Experienced Providers)
ACLS EP Training Center Faculty
ACLS EP Training Center Faculty (TCF) members are appointed by their respective TCs. ACLS EP TCF members
are responsible for quality assurance and are the educational leadership for all ACLS EP courses within their TC
network. TCF members conduct instructor courses, monitor new and renewing instructors, and conduct updates
for the TCs instructors. The ACLS EP TCF card and certifcate are not an acceptable substitute for an instruc-
tor card and do not verify instructor status. The TCF certifcate/card template that TCs use when appointing TCF
members in their respective disciplines is accessible on the Instructor Network to TCCs only. The TCF document
is set up to auto-populate the card template at the bottom of the certifcate. You will only need to complete the
certifcate portion and then print and place it in the instructors record. You may issue the auto-populated card to
the TCF.
Quality Control Checkpoints
Issue dates beginning April 17, 2013
Valid until further notice
Name of the appointing TC
Term of the appointment (eg, 1/2010-1/2012)
First and last name of the TCC
Name of region
Important Reminders
TCF cards are not a replacement for AHA Instructor cards. If an
instructor is appointed as a TCF by the TCC, he or she is to be
issued a current instructor card, and it must be kept in the TCs
records.
The designation of TCF is not transferable to other TCs.
TCF certifcate, card, and template are available only
to TCCs, through the AHA Instructor Network.
ACLS EP
Training Center Faculty
has been appointed as an
ACLS for Experienced Providers Training Center Faculty
for the American Heart Association.
TC Name TC Coordinator
Term Region
KJ1048 ACLS EP 3/13
ACLS EP Instructor
ACLS EP Instructors teach the ACLS EP Course. Instructor cards are available exclusively to authorized TCs
for issuance in accordance with AHA policy.
Quality Control Checkpoints
Issue date beginning April 17, 2013
Valid until further notice
Renewal date 2 years from month of issue
This card supersedes card 70-2923
Associated Materials for Instructors
ACLS for Experienced Providers DVD Set which includes
ACLS for Experienced Providers Instructor Manual
ACLS for Experienced Providers Manual and Resource Text
Advanced Cardiovascular Life Support Instructor Manual
Advanced Cardiovascular Life Support Provider Manual
2010 Handbook of Emergency Cardiovascular Care
for Healthcare Providers
90-1811 4/13
This card contains unique security features to protect against forgery.
PEEL
HERE
TC TC ID #
Alignment
TC TC
Address Phone
TC
City, State ZIP
Instructor
ID #
Holders
Signature
2013 American Heart Association Tampering with this card will alter its appearance. 90-1811
This card certifies that the above individual is an American Heart
Association Advanced Cardiovascular Life Support (ACLS) Experienced
Provider (EP) Instructor.
Issue Date Expiration Date
ACL S E P I NST RUCT OR
ACLS EP
I nst r uct or
ACL S E P I NST RUCT OR
90-1811 3-card
ACLS EP
18
ACLS Experienced Provider
The ACLS Experienced Provider Course is designed for seasoned ACLS providers who wish to renew their
provider status. The course provides a stimulus for expert clinicians and scientists to identify and discuss
resuscitation in special circumstances. Provider cards are available exclusively to authorized TCs for issuance in
accordance with AHA policy.
Quality Control Checkpoints
Issue date beginning April 17, 2013
Valid until further notice
Renewal date 2 years from month of issue
This card supersedes card 70-2922
Quality Control Checkpoints
Issue date beginning March 2001
Valid through June 30, 2015
Renewal date 2 years from month of issue
Not valid for issue after June 30, 2013
70-2922 R3/09
Training
Center
TC Address
Contact Info
Course
Location
Instructor
Holders
Signature
2000 American Heart Association Tampering with this card will alter its appearance. 70-2922
This card certifies that the above individual has successfully
completed the national cognitive and skills evaluations in
accordance with the curriculum of the American Heart Association
for the ACLS Experienced Provider Program.
Issue Date Recommended Renewal Date
ACLS Experienced Provider
70-2922 3-card
90-1812 4/13
This card contains unique security features to protect against forgery.
PEEL
HERE
Training TC ID #
Center Name
TC TC
Info City, State ZIP Phone
Course
Location
Instructor Inst. ID #
Name
Holders
Signature
2013 American Heart Association Tampering with this card will alter its appearance. 90-1812
ACLS Experienced
Provider
This card certifies that the above individual has successfully
completed the cognitive and skills evaluations in accordance
with the curriculum of the American Heart Association Advanced
Cardiovascular Life Support (ACLS) Experienced Provider Program.
Issue Date Recommended Renewal Date
ACLS EXPERI ENCED PROVI DER ACLS EXPERI ENCED PROVI DER
90-1812 3-card
ACLS EP
19
Quality Control Checkpoints
Issue date beginning March 2001
Valid through June 30, 2015
Expiration date 2 years from month of issue
Not valid for issue after June 30, 2013
70-2923 R10/11
Training Center
Alignment
TC Address
Contact Info
Course
Location
TC
Coordinator
Holders
Signature
2000 American Heart Association Tampering with this card will alter its appearance. 70-2923
This card certifies that the above individual has successfully
completed the national cognitive and skills evaluations in
accordance with the curriculum of the American Heart Association
for the ACLS Experienced Provider Instructor Program.
Issue Date Expiration Date
ACLS EP I nst r uct or
70-2923 3-card
PALS
PALS (Pediatric Advanced Life Support)
PALS National Faculty
PALS National Faculty (NF) members are PALS Instructors appointed by their respective National ECC
Committees. PALS NF members are responsible for quality assurance and are the educational leadership
for the PALS Program within their regions instructor network. NF members are key resources for the Regional
ECC Committee. The NF status is a region-specifc volunteer appointment and is not transferable between
regions or states. This card is not an acceptable substitute for an instructor card and does not verify instructor
status dates.
Quality Control Checkpoints
Issue date beginning July 2007
Term of appointment
Valid until further notice
Cards are hard plastic
Back of Card
AHA ECC mission statement
Signature of appointed NF member (in ink)
PALS National Faculty
John Doe
Term: July 2011 June 2012
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John Doe
has been appointed as a Pediatric Advanced Life Support National
Faculty for the American Heart Association XXXXXX Region.
Term: July 2011 June 2012
Jane Doe PROAD Chair
PALS
National
Faculty
PALS National Faculty
John Doe
Term: July 2011 June 2012
John Doe
has been appointed as a Pediatric Advanced Life Support National
Faculty for the American Heart Association XXXXXX Region .
Term: July 2011 June 2012
Jane Doe PROAD Chair
PALS
National
Faculty
PALS National Faculty
John Doe
Term: July 2011 June 2012
John Doe
has been appointed as a Pediatric Advanced Life Support National
Faculty for the American Heart Association XXXXXX Region.
Term: July 2011 June 2012
Jane Doe PROAD Chair
PALS
National
Faculty
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PALS Regional Faculty
PALS Regional Faculty (RF) members are PALS Instructors appointed by their respective Regional ECC
Committees. PALS RF members are responsible for quality assurance and are the educational leadership
for the PALS Program within their regions instructor network. RF members are key resources for the regions
TCs. The RF status is a region-specifc volunteer appointment and is not transferable between regions or states.
This card is not an acceptable substitute for an instructor card and does not verify instructor status dates.
PALS Regional Faculty
John Doe
Term: July 2011 June 2012
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7
5
2
3
1
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4
5
9
6
John Doe
has been appointed as a Pediatric Advanced Life Support Regional
Faculty for the American Heart Association XXXXXX Region.
Term: July 2011 June 2012
Jane Doe, ECC Regional Committee Chair
PALS
Regional
Faculty
PALS Regional Faculty
John Doe
Term: July 2011 June 2012
John Doe
has been appointed as a Pediatric Advanced Life Support Regional
Faculty for the American Heart Association XXXXXX Region .
Term: July 2011 June 2012
Jane Doe, ECC Regional Committee Chair
PALS
Regional
Faculty
PALS Regional Faculty
John Doe
Term: July 2011 June 2012
John Doe
has been appointed as a Pediatric Advanced Life Support Regional
Faculty for the American Heart Association XXXXXX Region.
Term: July 2011 June 2012
Jane Doe, ECC Regional Committee Chair
PALS
Regional
Faculty
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Quality Control Checkpoints
Issue date beginning July 2007
Valid until further notice
Term of appointment
Cards are hard plastic
Back of Card
AHA ECC mission statement
Signature of appointed RF member (in ink)
20
National Faculty cards produced and distributed by AHA National Center
Regional Faculty cards produced and distributed by AHA National Center
PALS Training Center Faculty
PALS Training Center Faculty (TCF) members are appointed by their respective TCs. PALS TCF members are
responsible for quality assurance and are the educational leadership for all PALS courses within their TC network.
TCF members conduct instructor courses, monitor new and renewing instructors, and conduct updates for the
TCs instructors. The PALS TCF card and certifcate are not an acceptable substitute for an instructor card and
do not verify instructor status. The TCF certifcate/card template that TCs use when appointing TCF members
in their respective disciplines is accessible on the Instructor Network to TCCs only. The TCF document is set up
to auto-populate the card template at the bottom of the certifcate. You will only need to complete the certifcate
portion and then print and place it in the instructors record. You may issue the auto-populated card to the TCF.
Quality Control Checkpoints
Issue dates beginning June 2010
Valid until further notice
Name of the appointing TC
Term of the appointment (eg, 1/2010-1/2012)
First and last name of the TCC
Name of region
Important Reminders
TCF cards are not a replacement for AHA Instructor cards. If an
instructor is appointed as a TCF by the TCC, he or she is to be
issued a current instructor card, and it must be kept in the TCs
records.
The designation of TCF is not transferable to other TCs.
PALS Instructor
PALS Instructors teach the PALS Provider Course and the PEARS Provider Course. Instructor cards are
available exclusively to authorized TCs for issuance in accordance with AHA policy.
90-1817 3/11
This card contains unique security features to protect against forgery.
PEEL
HERE
TC TC ID #
Alignment
TC TC
Address Phone
TC
City, State ZIP
Instructor
ID #
Holders
Signature
2011 American Heart Association Tampering with this card will alter its appearance. 90-1817
This card certifies that the above individual is an American Heart
Association Pediatric Advanced Life Support (PALS) Instructor.
Issue Date Expiration Date
P A L S I N S T R U C T O R
PALS I nst r uct or
P A L S I N S T R U C T O R
Quality Control Checkpoints
Issue date beginning October 12, 2011
Valid until further notice
Expiration date 2 years from month of issue
This card supersedes card 70-2919
Associated Materials for Instructors
Pediatric Advanced Life Support Instructor Manual
Pediatric Advanced Life Support Provider Manual
Pediatric Emergency Assessment, Recognition,
and Stabilization Instructor Manual
Pediatric Emergency Assessment, Recognition,
and Stabilization Provider Manual
2010 Handbook of Emergency Cardiovascular Care
for Healthcare Providers
90-1817 3-card
TCF certifcate, card, and template are available only
to TCCs, through the AHA Instructor Network.
PALS
Training Center Faculty
has been appointed as a
Pediatric Advanced Life Support Training Center Faculty
for the American Heart Association.
TC Name TC Coordinator
Term Region
KJ1048 PALS 3/13
PALS
21
PALS
22
PALS Provider
The PALS Provider Course teaches students how to recognize infants and children at risk of cardiopulmonary arrest,
provides students with strategies for preventing cardiopulmonary arrest in infants and children, and teaches how
to perform the cognitive and psychomotor skills for resuscitating and stabilizing infants and children in respiratory
failure, shock, or cardiopulmonary arrest. Provider cards are available exclusively to authorized TCs for issuance
in accordance with AHA policy.
Quality Control Checkpoints
Issue date beginning October 12, 2011
Valid until further notice
Renewal date 2 years from month of issue
This card supersedes cards 70-2906 and 70-2918
Quality Control Checkpoints
Issue date beginning January 2002
Valid through December 31, 2013
Not valid for issue after December 31, 2011
Renewal date 2 years from month of issue
70-2918 R1/08
Training
Center
TC Address
Contact Info
Course
Location
Instructor
Holders
Signature
2000 American Heart Association Tampering with this card will alter its appearance. 70-2918
PALS Pr ovi der
This card certifies that the above individual has successfully
completed the national cognitive and skills evaluations in
accordance with the curriculum of the American Heart Association
for the Pediatric Advanced Life Support Program.
Issue Date Recommended Renewal Date
70-2918 3-card 70-2906 2-card self-mailer
90-1818 3-card 90-1808 2-card self-mailer
90-1818 3/11
This card contains unique security features to protect against forgery.
PEEL
HERE
PALS Provi der
This card certifies that the above individual has successfully
completed the cognitive and skills evaluations in accordance with
the curriculum of the American Heart Association Pediatric Advanced
Life Support (PALS) Program.
Issue Date Recommended Renewal Date
PE DI AT RI C ADVANCE D L I F E SUPPORT PE DI AT RI C ADVANCE D L I F E SUPPORT
Training TC ID #
Center Name
TC TC
Info City, State ZIP Phone
Course
Location
Instructor Inst. ID #
Name
Holders
Signature
2011 American Heart Association Tampering with this card will alter its appearance. 90-1818
Quality Control Checkpoints
Issue date beginning January 2002
Valid through December 31, 2013
Not valid for issue after December 31, 2011
70-2919 R1/08
Training Center
Alignment
TC Address
Contact Info
Course
Location
Instructor
Holders
Signature
2000 American Heart Association Tampering with this card will alter its appearance. 70-2919
PALS I nst r uct or
This card certifies that the above individual has successfully
completed the national cognitive and skills evaluations in
accordance with the curriculum of the American Heart Association
for the Pediatric Advanced Life Support Instructor Program.
Issue Date Expiration Date
70-2919 3-card
80-1215 8/07
Training
Center
TC Address
Contact Info
Course
Location
Instructor
Holders
Signature
2007 American Heart Association Tampering with this card will alter its appearance. 80-1215
PEARS Pr ovi der
This card certifies that the above individual has successfully
completed the objectives and skills evaluations in accordance
with the curriculum of the American Heart Association Pediatric
Emergency Assessment, Recognition, and Stabilization Course.
Issue Date Recommended Renewal Date
PEEL
HERE
This card contains unique security features to protect against forgery.
80-1215 3-card
PEARS Provider
The PEARS Provider Course is designed to help the basic pediatric healthcare provider develop the knowledge
and skills for emergency assessment and treatment of seriously ill infants and children. Provider cards are
exclusively available to authorized TCs for issuance in accordance with AHA policy.
Quality Control Checkpoints
Issue date beginning June 13, 2012
Valid until further notice
Renewal date 2 years from month of issue
This card supersedes card 80-1215
Quality Control Checkpoints
Issue date beginning November 2007
Valid through August 31, 2014
Not valid for issue after August 31, 2012
Renewal date 2 years from month of issue
90-1819 6/12
This card contains unique security features to protect against forgery.
PEEL
HERE
PEARS

Provi der
This card certifies that the above individual has successfully completed
the cognitive and skills evaluations in accordance with the curriculum
of the American Heart Association Pediatric Emergency
Assessment, Recognition, and Stabilization (PEARS) Program.
Issue Date Recommended Renewal Date
P E A R S P R O V I D E R P E A R S P R O V I D E R
Training TC ID #
Center Name
TC TC
Info City, State ZIP Phone
Course
Location
Instructor Inst. ID #
Name
Holders
Signature
2012 American Heart Association Tampering with this card will alter its appearance. 90-1819

90-1819 3-card
90-1823 3-card
90-1823 6/12
This card contains unique security features to protect against forgery.
PEEL
HERE
TC TC ID #
Alignment
TC TC
Address Phone
TC
City, State ZIP
Instructor
ID #
Holders
Signature
2012 American Heart Association Tampering with this card will alter its appearance. 90-1823
This card certifies that the above individual is an American Heart
Association Pediatric Emergency Assessment, Recognition, and
Stabilization (PEARS) Instructor.
Issue Date Expiration Date
P E A R S I N S T R U C T O R
PEARS

I nst r uct or
P E A R S I N S T R U C T O R
Quality Control Checkpoints
Issue date beginning May 7, 2013
Valid until further notice
Expiration date 2 years from month of issue
Associated Materials for Instructors
Pediatric Emergency Assessment, Recognition,
and Stabilization Instructor Manual
Pediatric Emergency Assessment, Recognition,
and Stabilization Provider Manual
2010 Handbook of Emergency Cardiovascular Care
for Healthcare Providers
PEARS

(Pediatric Emergency Assessment, Recognition, and Stabilization)


PEARS Instructor
PEARS Instructors teach the PEARS Provider Course. Instructor cards are available exclusively to authorized
TCs for issuance in accordance with AHA policy.
PEARS
23
Cour se Car d I ndex
Course Card Index
Below is a comprehensive list of course cards with product numbers, including 2 different formats: the
3-card sheet and 2-card sheet self-mailer. The 90 series product number refects the most current version.
Only current AHA Training Centers may order course cards.
Course Card Description
Current Version of Card Earlier Version of Card
3-Card Sheet
2-Card Sheet
Self-Mailer
3-Card Sheet
2-Card Sheet
Self-Mailer
BLS
BLS Instructor 90-1800 90-1807 70-2916 70-2904
BLS Healthcare Provider 90-1801 90-1802 70-2915 70-2903
Heartsaver
Heartsaver Instructor 90-1816 80-1205
Heartsaver CPR AED 90-1813 90-1810 80-1203 80-1211
Heartsaver First Aid 90-1814 90-1809 80-1202 80-1208
Heartsaver First Aid CPR AED 90-1815 90-1820 80-1202 80-1208
Heartsaver Pediatric First Aid CPR AED 90-1825 90-1824
Heartsaver Pediatric First Aid 80-1201 80-1209
Heartsaver CPR AED in Schools 90-1821
Heartsaver CPR in Schools 80-1200
ACLS
ACLS Instructor 90-1804 90-1803 70-2921 70-2909
ACLS Provider 90-1806 90-1805 70-2920 70-2908
ACLS EP
ACLS EP Instructor 90-1811 70-2923
ACLS Experienced Provider 90-1812 70-2922
PALS
PALS Instructor 90-1817 70-2919
PALS Provider 90-1818 90-1808 70-2918 70-2906
PEARS
PEARS Instructor 90-1823
PEARS Provider 90-1819 80-1215
24
I nt er nat i onal
25
International
The AHA has a large and growing training network outside the United States. In some locations, the AHA has
translated or cobranded course cards. These cards are equivalent to standard AHA course cards; all course
objectives and materials remain the same worldwide.
Portuguese
These cards are commonly issued in Brazil and Portugal. For a full list of the cards available in Portuguese, see the
International Course Card Index on page 28.

90-2222US 8/11
REMOVA
AQUI
Prof i ssi onal
de Sade
Este carto certifica que esta pessoa foi aprovada nas avaliaes
cognitivas e de habilidades, de acordo com o currculo do Programa
de SBV para Profissionais de Sade (RCP e DEA/DAE) da American
Heart Association.
Data de Emisso Data de Renovao Recomendada
P R O F I S S I O N A L D E S A D E P R O F I S S I O N A L D E S A D E
Centro de N ID CT
Treinamento (CT)
Informaes Telefone
CT Cidade, Estado, CEP
Local do
Curso
Nome de N ID Inst.
Instrutor
Assinatura
do Titular
2011 American Heart Association Qualquer adulterao neste certificado alterar sua aparncia. 90-2222US
Este certifcado contm recursos de segurana exclusivos que o protegem contra falsifcaes.
Portuguese BLS Healthcare Provider card Portuguese BLS Instructor card

90-2221US 8/11
REMOVA
AQUI
Centro de N ID CT
Treinamento (CT)
Informaes Telefone
CT Cidade, Estado, CEP
Local
do curso
Nome do N ID Instrutor
Instrutor
Assinatura
do Titular
2011 American Heart Association Qualquer adulterao neste certificado alterar sua aparncia. 90-2221US
Este carto certifica que o portador acima um Instrutor de Suporte
Bsico de Vida (SBV) da American Heart Association.
Data de Emisso Data de Validade
I N S T R U T O R D E S B V
SBV
I nst r ut or
I N S T R U T O R D E S B V
Este certifcado contm recursos de segurana exclusivos que o protegem contra falsifcaes.
Spanish
These cards are commonly issued in Mexico, Central America, South America, and Spain. For a full list of the cards
available in Spanish, see the International Course Card Index on page 28.

90-2321US 8/11
LEVANTAR
AQU
Prof esi onal
de l a sal ud
Esta tarjeta certifica que la persona mencionada ha realizado
satisfactoriamente las pruebas cognitivas y prcticas de acuerdo
con el programa Soporte Vital Bsico (SVB/BLS) de la American
Heart Association para profesionales de la salud (RCP y DEA).
Fecha de emisin Fecha de actualizacin recomendada
P ROF E S I ONA L DE L A S A L UD P ROF E S I ONA L DE L A S A L UD
Nombre del centro N. de ID del centro
de entrenamiento de entrenamiento
Informacin del centro Telfono del centro
de entrenamiento Ciudad, Pas, Cdigo postal de entrenamiento
Lugar
del curso
Nombre del N. de ID
instructor del instructor
Firma del
titular
2011 American Heart Association Manipular esta tarjeta alterar su apariencia. 90-2321US
Esta tarjeta cuenta con medidas de seguridad exclusivas contra falsifcaciones.
Spanish BLS Healthcare Provider card Spanish BLS Instructor card

90-2320US 8/11
LEVANTAR
AQU
Nombre del centro N. de ID del centro
de entrenamiento de entrenamiento
Direccin del centro Telfono del centro
de entrenamiento de entrenamiento
Ciudad y pas del centro
de entrenamiento
N. de ID
del instructor
Firma del
titular
2011 American Heart Association Manipular esta tarjeta alterar su apariencia. 90-2320US
Esta tarjeta certifica que la persona mencionada es instructora de Soporte
Vital Bsico (SVB/BLS) de la American Heart Association.
Fecha de emisin Fecha de vencimiento
I NST RUCT OR SVB/ BL S
I nst r uct or
SVB/ BLS
I NST RUCT OR SVB/ BL S
Esta tarjeta cuenta con medidas de seguridad exclusivas contra falsifcaciones.
I nt er nat i onal
26
Irish Heart Foundation
These cards are issued by the Irish Heart Foundation for Heartsaver, BLS, and ACLS disciplines. The Irish Heart Foun-
dation conducts AHA training within the Republic of Ireland. For a full list of Irish Heart Foundation cobranded cards,
see the International Course Card Index on page 28.
90-2004US 5/11
This card contains unique security features to protect against forgery.
PEEL
HERE
This card certifies that the above individual has successfully
completed the cognitive and skills evaluations in accordance with
the curriculum of the American Heart Association BLS for Healthcare
Providers (CPR and AED) Program.
Issue Date Recommended Renewal Date
H E A L T H C A R E P R O V I D E R H E A L T H C A R E P R O V I D E R
Training TC ID #
Center Name
TC TC
Info City, State ZIP Phone
Course
Location
Instructor Inst. ID #
Name
Holders
Signature
2011 American Heart Association Tampering with this card will alter its appearance. 90-2004US
Heal t hcare Provi der
Irish BLS Healthcare Provider card Irish BLS Instructor card
90-2003US 5/11
This card contains unique security features to protect against forgery.
PEEL
HERE
TC TC ID #
Alignment
TC TC
Address Phone
TC
City, State ZIP
Instructor
ID #
Holders
Signature
2011 American Heart Association Tampering with this card will alter its appearance. 90-2003US
This card certifies that the above individual is an American Heart
Association Basic Life Support (BLS) Instructor.
Issue Date Expiration Date
B L S I N S T R U C T O R

B L S I N S T R U C T O R
BLS I nst r uct or
Resuscitation Council of Southern Africa
These cards are issued by the Resuscitation Council of Southern Africa (RCSA) in the countries where it conducts
AHA training. Other International Training Centers in South Africa may issue this card or the standard AHA course
card. For a full list of RCSA cobranded cards, see the International Course Card Index on page 28.
90-2009US R9/12
This card contains unique security features to protect against forgery.
PEEL
HERE
This card certifies that the above individual has successfully
completed the cognitive and skills evaluations in accordance with
the curriculum of the American Heart Association BLS for Healthcare
Providers (CPR and AED) Program.
Issue Date Recommended Renewal Date
H E A L T H C A R E P R O V I D E R H E A L T H C A R E P R O V I D E R
Training TC ID #
Center Name
TC TC
Info City, State ZIP Phone
Course
Location
Instructor Inst. ID #
Name
Holders CPR Verify #
Signature
2011 American Heart Association Tampering with this card will alter its appearance. 90-2009US
Heal t hcare Provi der
Resuscitation
Council of
Southern Africa
Southern African BLS Healthcare Provider card Southern African BLS Instructor card
90-2008US R9/12
This card contains unique security features to protect against forgery.
PEEL
HERE
TC TC ID #
Alignment
TC TC
Address Phone
TC
City, State ZIP
Instructor
ID #
Holders CPR Verify #
Signature
2011 American Heart Association Tampering with this card will alter its appearance. 90-2008US
This card certifies that the above individual is an American Heart
Association Basic Life Support (BLS) Instructor.
Issue Date Expiration Date
B L S I N S T R U C T O R

B L S I N S T R U C T O R
BLS I nst r uct or
Resuscitation
Council of
Southern Africa
I nt er nat i onal
27
Heart and Stroke Foundation of Canada
The Heart and Stroke Foundation of Canada (HSFC) works closely with AHA ECC Programs. The HSFC provider
card is recognized by the AHA and can be used for admission to an AHA provider course (renewal or update) or
instructor course in the same discipline. The HSFC instructor card is recognized by AHA TCs in the same way as
an instructor card issued by any AHA TC.
FIRST NAME LAST NAME
Has successfully completed the Heart and Stroke Foundation
of Canada program for:
BLS PROVIDER INSTRUCTOR
123456789 12/2013
HSF ID EXPIRES
HSFC instructor cards are gold.
FIRST NAME LAST NAME
Has successfully completed the Heart and Stroke Foundation
of Canada program for:
BLS HCP HEARTSAVER (C) PROVIDER
123456789 12/2013
HSF ID EXPIRES
HSFC provider cards are silver.
1-888-HSF-INFO (473-4636)
RESUSCITATION.HEARTANDSTROKE.CA

Heart and Stroke Foundation of Canada
2300 Yonge Street, Suite 2300
P.O. Box 2414
Toronto, Ontario M4P 1E4
SIGNATURE
This card is the property of Heart and Stroke Foundation of Canada.
Resale or reproduction is prohibited.
Successful completion does not guarantee future performance,
nor imply licensure to perform these skills if outside of their
scope of practice.
1-888-HSF-INFO (473-4636)
RESUSCITATION.HEARTANDSTROKE.CA

Heart and Stroke Foundation of Canada
2300 Yonge Street, Suite 2300
P.O. Box 2414
Toronto, Ontario M4P 1E4
This card is the property of Heart and Stroke Foundation of Canada.
Resale or reproduction is prohibited.
Successful completion does not guarantee future performance,
nor imply licensure to perform these skills if outside of their
scope of practice.
SIGNATURE
I nt er nat i onal
International Course Card Index
Below is a comprehensive list of the international course cards with AHA product numbers.
Only current AHA Training Centers may order course cards.
28
Course Card Description 3-Card Sheet
Spanish
BLS Instructor 90-2320US
BLS Healthcare Provider 90-2321US
Heartsaver Instructor 90-2323US
Heartsaver CPR AED 90-2330US
Heartsaver First Aid CPR AED 90-2322US
ACLS Instructor 90-2318US
ACLS Provider 90-2319US
PALS Instructor 90-2324US
PALS Provider 90-2325US
Portuguese
BLS Instructor 90-2221US
BLS Healthcare Provider 90-2222US
Heartsaver Instructor 90-2224US
Heartsaver CPR AED 90-2231US
Heartsaver First Aid CPR AED 90-2223US
ACLS Instructor 90-2219US
ACLS Provider 90-2220US
PALS Instructor 90-2225US
PALS Provider 90-2226US
Course Card Description 3-Card Sheet
Irish Heart Foundation
BLS Instructor 90-2003US
BLS Healthcare Provider 90-2004US
Heartsaver First Aid CPR AED 90-2005US
ACLS Instructor 90-2001US
ACLS Provider 90-2002US
Resuscitation Council of Southern Africa
BLS Instructor 90-2008US
BLS Healthcare Provider 90-2009US
ACLS Instructor 90-2006US
ACLS Provider 90-2007US
PALS Instructor 90-2010US
PALS Provider 90-2011US
To order AHA products, contact one of the following:
C H A N N I N G B E T E C O M P A N Y
One Community Place | South Deerfield, MA 01373-0200, USA
P H O N E : 800-611-6083 | F A X : 800-499-6464
aha.channing-bete.com
L A E R D A L M E D I C A L C O R P O R A T I O N
167 Myers Corners Road | Wappingers Falls, NY 12590-8840, USA
P H O N E : 888-562-4242 | F A X : 800-227-1143
laerdal.com
W O R L D P O I N T , I N C .
1326 S. Wolf Road | Wheeling, IL 60090, USA
P H O N E : 888-322-8350 | F A X : 888-281-2627
eworldpoint.com
To order outside of the US contact one of the above distributors
or any of our authorized international distributors at
www.heart.org/eccintldist
For more information on other American Heart
Association programs contact us:
877-AHA-4CPR
www.heart.org/cpr
www.OnlineAHA.org
7272 Greenville Avenue
Dallas, Texas 75231-4596, USA
www.heart.org KJ0916 R11/13
ECC

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