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Intake questionnaire

The EMPOWER Trial - The Carillon Mitral Contour System® in Treating Heart Failure With FMR

Applying to Dignity Health Research Institute at Mercy Gilbert and Chandler Regional Medical Centers · Gilbert, Arizona

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 Functional Mitral Regurgitation?
3. Are you able to travel to Gilbert for study visits?