Update Your Device Registration - Request a ID New Card

Was your device implanted in the United States and/or is it being managed by a physician in the United States?*

Yes
No

I am a*

Patient
Patient Advocate
Healthcare Provider

Please check all that apply:

I have a new name, address, and/or phone number.

I received a letter from Medtronic to update my information.

My SSN is missing from my record.

My information has not changed but I would like to request a new ID card.

I have a new managing physician or my physician
has a new address, name, or phone number.

My Medtronic device was replaced or removed.

Patient is deceased.

PATIENT INFORMATION

Country/Region*

SSN INFORMATION

MEDTRONIC DEVICE INFORMATION

PHYSICIAN INFORMATION

Country/Region*

SUBMITTER INFORMATION

How would you like us to contact you if we have additional questions based on the information provided? Select either phone or email.

Phone Email

Would you like to receive informational emails from Medtronic?*

Your information will be protected in accordance with our privacy statement.

ID CARD REQUEST