MANAGE YOUR ID CARD PATIENT DEVICE REGISTRATION

Help us keep your patient record up to date. Patient ID cards are a free service and it will only take 3-5 minutes to fill out the online form.

Why Have an ID Card?

We recommend that all Medtronic patients with an implanted device carry an ID card in order to identify your device information in case of emergency.

How Do We Use the Information You Provide?

Medtronic places very high value on safety and security of your private information. The information you provide will be transmitted over a secure network, and is used to keep your device record current and accurate. We will use the information provided to supply you with an updated ID card, which will be mailed to you shortly after completing our online form.

All of the information you provide is used in compliance with our Terms of Use and Privacy Statement.

Who Should Have an ID Card?

Medtronic patients with a neuromodulation device (drug pump and/or neurostimulators) should have an ID card.

If you meet ALL of the following criteria, please use this form to update your information, and a new ID card will be mailed to the address you provide:

Medtronic is the manufacturer of your device and
One of the following pieces of information need to be updated:
- Name
- Address
- Phone Number
- Following Physician

Update Your Card / Request A New Card

First Name

Last Name

Title

STATE / PROVINCE

PHONE

Hospital Or Practice

Job Role

Specialty

About the latest products, technologies and services:

Yes No

About educational and clinical information (E.G. Medtronic Academy):

Yes No

Would you like to receive the Medtronic customer experience survey

Yes No

Your information will be processed and protected in accordance with our privacy statement

Selecting “no” to marketing emails above will not affect your other email selections, and a Medtronic representative will still reach out via email, if selected. Your personal data will used to manage your relationship with Medtronic, and, if you consent, to provide you with relevant email updates based on your user preferences. You can opt-out of receiving such emails at any time by clicking the unsubscribe link in the relevant email. Medtronic may use pixels and other technologies in emails to gather statistics around email opening and clicks, to help us improve our communications and to provide you with relevant content.

For more information, see the {link}.

You can always change your preferences or update your personal details by visiting the Preference center. {link}

First Name

Last Name

Title

STATE / PROVINCE

PHONE

Hospital Or Practice

Job Role

Specialty

About the latest products, technologies and services:

Yes No

About educational and clinical information (E.G. Medtronic Academy):

Yes No

Would you like to receive the Medtronic customer experience survey

Yes No

Your information will be processed and protected in accordance with our privacy statement

For more information, see the {link}.

You can always change your preferences or update your personal details by visiting the Preference center. {link}

First Name

Last Name

Hospital Or Organization

Job Role

Specialty

Confirm country/region

Before we get started, what best describes you?

Confirm country/region

First Name

Last Name

Hospital Or Organization

Country

HOSPITAL POSTAL CODE

Job Role

Specialty

First Name

Last Name

PHONE

Hospital Or Organization

COUNTRY

HOSPITAL POSTAL CODE

Job Role

Specialty