American Red Cross
Wilderness First Aid Basics
Orientation Verification Form
When you have reviewed the materials and completed the self-study, please complete and sign this verification form. Return the completed form and self-study test to the Health and Safety Director at your primary chapter of authorization. If you have any questions about the implementation of this course, please contact your local chapter.
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Print Name
I certify that I have reviewed the following materials (check those you have reviewed):
The Mountaineering First Aid Text.
When Help is Delayed Participant’s Manual.
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Wilderness First Aid Basics Student Guide
Wilderness First Aid Basics Instructor Manual.
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Signature/Date