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BLS Instructor Candidates

LCMH 2022 BLS Instructor courses ($300)

February 16, 2022; June 22, 2022; August 23, 2022; November 15,2022

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:

  • Instructor Manuals
    • Use of American Heart Association materials in this course does not represent course sponsorship by the American Heart Association. Any fees charged for this course, except for a portion of fees needed for AHA materials; do not represent income to the Association. LCMH employees need to have your manager notify the Professional Development Department if you are to attend.

The BLS materials are to be picked up in the Professional Development 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 Professional Development Department is located at 2615 Enterprise Boulevard, Lake Charles, LA 70601. Please email or for more information.

The Professional Development Department also provides ACLS and PALS instructor course, please email for more information.

Current Instructor Aligned with LCMH

All rosters, evaluations, and check off sheets need to be sent one of the following ways:

  1. Mail to:
    LCMHS Professional Development Department:
    2615 Enterprise Boulevard
    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:

  1. 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.
  2. Skills Check Lists (one per student)
  3. Evaluations – appropriate AHA evaluation for every student or evaluation summary
  4. Record written exam test score on the roster (if testing required)
  5. Payment (cards will not be sent out until payment is received)

For the Blended 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.

Instructor Forms

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 by clicking the card you need below. 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/card, 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 forward to for the release of your cards.

Option 3: You may mail your check or money order to us. LCMH, ATTENTION: PROFESSIONAL DEVELOPMENT DEPARTMENT, 2615 Enterprise Boulevard, 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.