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HeartSaver AED Registration Form

The HeartSaver AED course is designed to teach participants that are NOT healthcare providers the basic concepts of CPR, AED (automated external defibrillator), and FBAO (foreign body airway obstruction) techniques for victims of all ages. There is NO written exam for this course.

Prerequisites for all HeartSaver AED classes:

It is recommended that participants obtain a copy of and read the current HeartSaver AED provider manual prior to attending class which can be purchased in Life Support Education for $13.


Outside Student: $30

*Refunds will not be given if you are unable to attend this class. Please do not pay for a class unless you are prepared to attend the class date that you have scheduled. If unable to attend your scheduled date, we will gladly move you to a different day that will work with your schedule.

Employees: No Charge 


Are you an Employee?
If YES, are you an NCBH, School of Medicine, Cornerstone, Wilkes Regional, Community Physicians Employee, or Travel Nurse?
Date to Attend
Last Name
First Name
Middle Initial
Employee ID
Job Title
Phone Number
If an Employee, Manager's Name / Department
E-mail Address
Method of Payment:

Cost of Class $30.00
If payment will be by check, please mail to: 

Department of Life Support Education 
Wake Forest Baptist Medical Center 
Medical Center Boulevard 
Winston-Salem, NC 27157
If paying in cash, please deliver in person to the Department of Life Support Education on the 3rd floor South Building. 

If paying by credit card, please call 336-716-2800 or stop by Life Support Education.  
We will notify you of your acceptance into the class through the e-mail address you provided.


Quick Reference

Life Support Education
Kathy Nelson

Phone 336-716-2005
Fax 336-716-5927

Contact Kathy

Mikell White
Education Systems Specialist

Phone 336-716-2800
Fax 336-716-5927

Contact Mikell


3rd Floor South Building

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Disclaimer: The information on this website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified health care provider.

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