This site is intended for any and all instructors who are affiliated with CPR Montgomery
or one of it's authorized Training Sites. This site should serve as a resource for the mission
of teaching American Heart Association courses.
Lee R. Silverman
Training Center Coordinator
240-773-8240
301-279-1795 (fax)
[email protected]
www.cprmontgomery.com (public page)
Course Completion Cards
You can submit this form using any internet ready device.
It will work equally well from a smart phone as it will from a desktop PC.
Please note that the AHA has changed the course completion cards. The following course completion cards are now available. The card request form (or click on the Wufoo logo below) should be submitted for all card requests. Please note that payment must be received prior to cards being forwarded to you. Currently the cost for the crads is $3.00 per card but the cost can increase ithout any prior warning. Cards are packaged as three (3) cards per page, so when ordering it would help if you request cards in that format whenever possible.
The following cards are available:
- Heartsaver CPR & AED
- Heartsaver First Aid
- Heartsaver First Aid with CPR & AED
- Healthcare Provider
- Pediatric Heartsaver First Aid with CPR & AED (new 2013)
- ACLS
- PALS
- Heartsaver CPR & AED
AHA Authorized Vendors
The AHA has three (3) authorized vendors. All vendors sell the AHA products for the same base price, but some may offer discounts such as free shipping.
- Channing Bete 1-800-611-6083
- Laerdal Medical
- World Point 1-888-322-8350
How to Register on the AHA Network
If you are not registered on the AHA Instructor Network, youneed to create an account. Log on to https://myportal.americanheart.org/eccportal/ecc/ecc
When you look for the name of this Training Center, it is listed under "Rockville, Md. - CPR Montgomery MD1578"
for additional step-by-step guidance please watch the you tube video at:
CPR Montgomery Fillable Forms
Most of these forms are now using the program WuFoo. This program has many advantages for you the user.
You can open, and submit any WuFoo form from any internet ready device.
These forms work on all tablets (ios, android, windows), computers, and smart phones.
2014 CPR Annual Recert Material
- High Performances CPR SKills Sheet
- Link to YouTube video link
- If you would like to download the video please send me an email and I will send you the link.
Course Forms:
- CPR Course Roster
- Course Completion Card Request Form
- Course Evaluation Form
Instructor Forms:
Instructor Candidate Forms:
Instructor Monitor/Evaluation Form (use either form)
- Instructor Monitor Form (fillable pdf)
- Instructor Monitor Form (web enable on line form)
Download Documents
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How to request a DUPLICATE card
Duplicate cards are issued by the course instructor that taught the individuals course. The cost for the card is $5.00 per duplicate card. The process is:
The IoR must provide the following information to the TCC:
No duplicate card will be issued without payment and all of the information above.
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9710 Great Seneca Highway · Rockville, Maryland, 20850