APLS Refresher Course - Eligibility Form

The APLS 2 Day Refresher course is available for doctors, nurses and paramedics who want to revise and extend their knowledge, skills and confidence in the structured approach to managing ill and injured children.

As this course is designed as a refresher, registration for the program is restricted to candidates who have completed a 3-Day APLS course in the past 5 years and are clinically active in the care of sick and injured children.

Full name

Email*

Mobile phone number*

Where do you currently work?*

What is your current role?*

When did you last attend an APLS Course?

Upload Certificate or Evidence (if applicable)

Please attach a PDF or image file of any evidence to support your recognition of a prior course.

I confirm that I am a clinician who is currently active in the care of sick and injured children

Please add any notes below that may assist APLS to determine your eligibility to attend a Refresher course