ACLS Registration for Cottage Health System Staff

Cottage Health System (CHS) employees are eligible to have the ACLS course paid for by the hospital, if you work in one of the following units, and you take the course at a Cottage Facility:

Santa Barbara Cottage Hospital – Birth Center, Cardiac Cath Lab, Cardiac Rehabilitation, Cystic Fibrosis Clinic, Electrocardiology (EKG), Electrophysiology, Emergency Department (ED), Endoscopy Services, Eye Center, Medical Education, MICU, Nursing Administration, PACU, Respiratory Care, SICU, Telemetry and Trauma Services

Goleta Valley Cottage Hospital - Emergency Department (ED), ICU, Nursing Administration, Respiratory Care, Outpatient Surgery and PACU/Pre-op

Santa Ynez Valley Cottage - Cardiac Rehabilitation, Emergency Department (ED) and MedSurg

CHS will only pay for the whole course (2 days) if you have never taken the course before. Otherwise, CHS will only pay for you to attend the Update (formerly Renewal) course (day 2). If you would like to attend both days, you are responsible for a $50 fee. If your unit is not covered, you may still attend an ACLS course at a Cottage facility for a special staff price. Any CHS employee attending an ACLS course at a facility other than at a Cottage facility must pay full price.

COSTS:

Cottage Health System staff prices for ACLS courses taken at Cottage Hospitals:

Cottage Staff ACLS Full Provider – Not mandated/covered by unit – $150
Cottage Staff ACLS Update (Formerly Renewal) (2^nd day only) – Not mandated/cover by unit - $100*
Cottage Staff ACLS Update (Formerly Renewal) student covered by unit and attending both days – $50
American Heart Association 2015 Advanced Cardiovascular Life Support (ACLS) Provider Manual – $52

Prices for ACLS courses taken at all other facilities:

ACLS Full Provider – $195
ACLS Update (Formerly Renewal) (2^nd day only) – $145*
American Heart Association 2015 Advanced Cardiovascular Life Support (ACLS) Provider Manual – $52

*All Update (Renewal) students must show proof of a current AHA ACLS card

UPCOMING COURSES

TO BE HELD AT GOLETA VALLEY COTTAGE HOSPITAL

-2nd day of each date listed below is the Update (formerly renewal) class-

2020: October 17 & 18, November 14 & 15 and December 11 & 12

IN ORDER TO BE COVERED FOR THE CLASS YOU MUST LIST YOUR UNIT BY THE EXACT NAME LISTED IN THE ELIGIBLE UNITS ABOVE

COURSE REGISTRATION ENDS 72 HOURS (EXCLUDING SATURDAY AND SUNDAY) PRIOR TO THE BEGINNING OF THE COURSE

* indicates required field

General Information

ACLS Date(s):*

First Name:*

Last Name:*

Home Address:*

City:*

State:*

Zip Code:*

Cell Phone #*

Work Email*

Title:*

Professional License #*

Employer:*

Unit:*

Payment Information

IF THE COURSE IS MANDATED BY COTTAGE HEALTHCARE YOU DO NOT NEED TO PROVIDE CREDIT CARD INFORMATION

Credit Card Type:

Credit Card #

Month:

Year:

CV #

AHA requires all students to have a copy of the American Heart Association 2015 Advanced Cardiovascular Life Support (ACLS) Provider Manual

I have a book or will borrow one from the hospital
I would like to purchase a book - $52

A student may cancel within 72 hours prior to their scheduled course and expect an 80% refund within 3 weeks. Cancellations made within 72 hours of the course will not be entitled to a refund. A student canceling within 72 hours of their scheduled course may reschedule, but the student will be responsible for a $55.00 (ACLS/PALS) or $25.00 (BLS) rescheduling fee. Additionally, the student must reschedule to a course within 60 days of their originally scheduled course, or all fees will be forfeited. If there is not such a course scheduled within 60 days, the student must reschedule for the first available course. If the same student then cancels or does not attend on the rescheduled date, all fees, including the initial course fee and subsequent rescheduling fees will be forfeited. A student not attending the course without contacting Life Ed prior to the start of the course (“No Show”) will forfeit their entire registration fee. Life Ed reserves the right to cancel a course within 7 days of the start date. Under this circumstance, the student would be given a full refund for the course or be allowed to reschedule to another course without any further fees. Any student arriving at the course without the required items (e.g., course specific AHA text, provider card and/or pre-course self-assessment results) will not be allowed in the course, but is eligible to reschedule to another course for a $55.00 (ACLS/PALS) or $25.00 (BLS) rescheduling fee.
I Approve the total to be charged to my credit card.

Please Note: Upon registering you will receive an email to confirm your registration.