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Intake questionnaire

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

Applying to CHI St. Luke's Health Baylor College of Medicine Medical Center · Houston, Texas

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 Houston for study visits?