UnityPoint Health - Des Moines

ACLS Forms

Course Paperwork (Provider and Renewal)

Submit prior to the course

*If you modify the agenda set forth in the instructor manual, you must also submit this with your course planning form.

Submit within 2 weeks following the course (All courses). 

ACLS Provider & Update Courses

  • Bag/Mask Ventilation & BLS Checklists - one per student    
  • ACLS MegaCode Scenarios    
  • Written Exam Answer Sheet - one per student

HeartCode ACLS

  • Online HeartCode ACLS certificate - one per student
  • Bag/Mask Ventilation & BLS Checklists - one per student    
  • ACLS MegaCode Scenarios