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Intake questionnaire

Trial to Evaluate Safety And Effectiveness of Mechanical Circulatory Support in Patients With Advancing Heart Failure

Applying to Penn State Milton S. Hershey Medical Center · Hershey, Pennsylvania

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 Hershey for study visits?