BLS Instructor Candidates
LCMH 2019 BLS Instructor courses ($275)
March 14, 2019, August 1, 2019, November 1, 2019
This Basic Life Support instructor course is designed to prepare current
Basic Life Support providers for their role as a course facilitator for
American Heart Association Basic Life Support and Heartsaver First Aid courses.
In order to register for the BLS Instructor course:
● You must complete the instructor candidate application packet.Instructors
must be aligned/accepted by an
AHA Training Center as part of their registration. Alignment with Lake Charles
Memorial should not be assumed.
Instructor Candidate Application (PDF opens in new window)
● Complete the registration form
(click here for PDF).
● Provide a current BLS Provider card with a recommendation letter by the
person who taught your provider course or course director.
● Make payment.
Course Fee must be paid prior to receiving materials. Course Fee includes:
- BLS Instructor Manual & Heart
AHA Instructor Essential Course Key
The BLS materials are to be picked up in the Education Department and completed
prior to the Instructor course.
Online BLS Instructor Essentials Course must be completed prior to attendance
date and certificate presented in order to participate in the course.
The Education Department is located at 2804 2nd Ave, Lake Charles, LA 70601. Please email
firstname.lastname@example.org for more information.The Education Department also provides ACLS and PALS instructor course,
email@example.com for more information.
Current Instructor Aligned with LCMH
All rosters, evaluations, and check off sheets need to be sent one of the
1. Mail to:
LCMHS Education Department:
2804 2nd Avenue
Lake Charles, LA 70601
2. Fax to 337-494-2123
3. Email scanned documents to
All of the following must be included with EACH of your course records
after each class:
- Roster (ALL INFORMATION MUST BE LEGIBLE AND CORRECTLY FILLED OUT. STUDENT’S
EMAILS MUST BE CORRECT. If the student is under 13 years of age, you must
receive permission from parent/guardian to obtain information). You must
include instructor ID number.
- Skills Check Lists (one per student)
- Evaluations – appropriate AHA evaluation for every student or evaluation summary
- Record written exam test score on the roster (if testing required)
- Payment (cards will not be sent out until payment is received)
Heart Code Courses you must turn in the online course certificate for the student, roster,
skills check list and evaluation.
INCOMPLETE OR UNPAID COURSE PAPERWORK WILL NOT BE PROCESSED. Please keep
a copy of all of your paperwork.
All forms can be found at the American Heart Instructor website.
Card Fees and Payment
BLS Cards - $5.00
K-12 School CPR Cards $5.00
Heartsaver Cards - $18.00
PALS & ACLS Cards - $7.00
There are 4 options for purchasing cards:
Option 1: The cards can be purchased online
here. These cards are $.40 more because of a convenience fee charged by the service.
You will then need to email the receipt to
BLS - $5.40/card, Heartsaver $18.40/card, K-12-$5.40/ PALS - $7.40/card,
ACLS - $7.40/card
Option 2: The cards can be purchased by calling our business office at 337-494-2470
to pay by credit card (no extra charge). Ask the clerk to deposit the
money into account 6900-7040. Ask for a receipt to be emailed to you then
firstname.lastname@example.org for the release of your cards.
Option 3: You may mail your check or money order to us. LCMH, ATTENTION: EDUCATION
DEPARTMENT, 2804 2nd Avenue, Lake Charles, LA 70601.
Option 4: You can make an appointment to pay in person by emailing
We only use e-cards, except for HS K-12. Your cards will be in your account
within 7 business days.