Registration Form

You are registering for:

Course Name

RQI Course

Course Date

Duration

Start Time

Location

RQI (Resuscitation Quality Improvement)

The American Heart AssociationⒸ & Safety Training Seminars now offer RQI skills testing. You will take the online course and then come in to skills test with a VAM (voice assisted manikin). During the skills testing, an instructor will not be present, since the manikin & computer will guide you through your skills. Initial or renewal students can take this course.

Student Information

Confirmation Notice & Receipt

Email Me

Text Me

Both (recommended)

Payment Information

Visa, Mastercard or Discover. Cardholder does not need to be the student.

Expiration Month

Expiration Year

Total

$

RQI (Resuscitation Quality Improvement)

Yes. I understand.

During your skills testing, an instructor will not be present. You will perform your skills testing with the VAM and receive the official American Heart Association eCard on the day of your training.

ACLS eLearning Certificate

Yes. I understand.

We will send you the link to start your online course within 2 business days. If you do not receive this link within 2 days, call us. If you have already paid for and taken the AHA online course (and only need the skills testing), do not fill out this form, go to this site: bayareacpr.org/skillsonly

Terms and Conditions

I agree to the terms and conditions.

By clicking submit, you agree that your credit card will be charged and that there are no refunds. However, you can reschedule your appointment for no extra charge two times using the reschedule link. After two reschedules, the charge is $20 to reschedule. Please do not hit the back button or refresh as you will lose all your information.

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We will contact you soon.