Certificate Upload - BLS for Healthcare Providers

Name*
First Last
Email Address*
Must be the same email address you use to login to courses.alliedmedtraining.com
Enter Email Confirm Email
Alternate Email Address
If you sometimes use a different email address, please enter it here.
Enter Email Confirm Email
Phone*
For matching your student record.
Certificate EXPIRATION Date*
Upload your BLS card image here*
Max. file size: 150 MB.
Email
This field is for validation purposes and should be left unchanged.