Fast-Track CPR Re-Certification and Renewal

CPR Re-Certification and Renewal

Fast-Track Re-Certification and Renewal is available only to qualified individuals. To be approved all of the following statements must be true.

Qualification Affidavit

• My certificate is currently valid or has expired less than 6 months ago.
• My current certificate is in good standing and has not been revoked or suspended.
• I fully understand the current ILCOR and AHA guidelines for CPR, AED, and First Aid.
• My employer or professional license requires that I maintain CPR certification.
• I have not been found guilty of medical negligence or malpractice in the last 5 years.
• I have not been convicted of a crime involving moral turpitude including DUI/DWI, drugs or weapons charges.

l declare that the foregoing is true and correct.

First Name Last Name Email Address
Signed on September 20, 2024  

By submitting your first name, last name, and email address you are providing your electronic signature.