Click on the links below to download the forms. PLEASE DO NOT USE ANY OLDER VERSIONS OF THESE FORMS. Doing so may result in being asked to resubmit your paperwork. If you need a form that is not available on this page, please contact us - Main Phone: 504-988-9150
All forms should be sent to the following addresses and numbers. Sending the forms to any other address will result in a delay in your paperwork being processed.
Tulane Simulation Center
1430 Tulane Ave #8040
New Orleans LA 70112
FAX: 504-988-9151
EMAIL: simcenter@tulane.edu
Need to order supplies?
AHA Course Supplies Order Form
Instructor Forms
- Instructor Alignment Agreement
- Potential Letter
- New Card Request Form
- Renewal Card Request Form
- Instructor Monitoring Form - Please note that BLS instructors can only be monitored by TRAINING CENTER FACULTY or REGIONAL FACULTY MEMBERS and ACLS/PALS instructors can only be monitored by TRAINING CENTER FACULTY OR REGIONAL FACULTY MEMBERS AND COURSE DIRECTORS. If you have any questions please contact us.
- Records Transfer Request
- BLS Course Evaluation Form
- ACLS Course Evaluation Form
- PALS Course Evaluation Form
Rosters
- BLS Roster
- ACLS Roster
- PALS Roster
- Heartsaver Roster
- CPR for Family and Friends Roster
- Heartcode Skills Session Roster
- Additional Roster Pages
Course Testing Checklists
- BLS Skills Checklist (Adult)
- BLS Skills Checklist (Infant)
- Heartsaver CPR AED Skills Checklist
- Heartsaver First Aid Skills Checklist
- ACLS CPR/AED Checklist
- ACLS Airway Management Checklist
- ACLS Scenarios 1-3-8 Checklist
- ACLS Scenarios 2-5 Checklist
- ACLS Scenarios 4-7-10 Checklist
- ACLS Scenarios 6-11 Checklist
- ACLS Scenario 9 Checklist
- ACLS Scenario 12 Checklist
