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Yes! I would like to receive complimentary educational information about heart conditions, implanted heart devices, wellness, nutrition, and living with a heart device. No more than once a year, we may ask your input on heart devices and your experience with your heart device via a survey to help us better serve patients like you.

NO. I am not interested at this time.

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(as indicated on your ID Card, see illustration to the right)


All fields are required Yes! I would like to receive complimentary educational information about heart conditions, implanted heart devices, wellness, nutrition, and living with a heart device. No more than once a year, we may ask your input on heart devices and your experience with your heart device via a survey to help us better serve patients like you. NO. I am not interested at this time. First Name: Last Name: Primary Device Serial Number: (as indicated on your ID Card, see illustration to the right) Email: Email (re-enter to confirm):
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