Arizona AED Registry: Users

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EMS Provider?

If you have alternate medical direction other than SHARE, please provide the name of the program or doctor

Please enter any comments, particularly if you selected 'other' for any drop downs

As a participant in the SHARE program, I can expect medical direction at no cost. I agree to the SHARE program requirements listed below:

Train as many potential users as possible and ensure trainees know to call 911 as soon as possible during an emergency (keep training records to submit if requested).
Submit a report (use form) to the Bureau of Emergency Medical Services and Trauma System, Arizona Department of Health Services, within five working days after an AED is used, required by statute: A.R.S. 36-2262.
Provide name and contact information for medical director if other than the AZ SHARE Medical Director.
Maintain AEDs in a “ready to operate” state adhering to manufacturer recommended maintenance, required updates, and battery/electrode replacement*

*Please note: It is the owner’s responsibility to check their AED(s) regularly for readiness and to replace batteries/electrodes according to the manufacturer’s recommendations.

I have read and agree to the above.

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Note: Password must be at least 12 characters, with at least one: capital letter, lowercase letter and number.

ARIZONA DEPARTMENT OF HEALTH SERVICES

Health and Wellness for All Arizonans

ARIZONA DEPARTMENT OF HEALTH SERVICES

SHARE AED Registry