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Intake questionnaire

CCM OPEN HF Registry

Applying to Trinity Ann Arbor d/b/a Michigan Heart Ann Arbor · Ypsilanti, Michigan

Answer a few short questions to share with the research team.

0 of 3 answered

1. Are you 18 years old or older?
2. Have you been diagnosed with Heart Failure?
3. Are you able to travel to Ypsilanti for study visits?