Please complete the information below and we'll contact you when we have a HeartCheck in your area.

This is not a pre-registration.  You will receive an email notification from letting you know we have new appointments available in your area.  We recommend adding that email address to your contacts to help ensure you receive our email.

  • Please enter a number greater than or equal to 1.
    You'll be contacted by email when appointments become available. To ensure you receive the reminder email, we suggest adding in your contact list.
  • After submitting your form: (1) We will contact you by email as soon as we have appointments in your area. (2) You will be redirected to our Facebook Events Page. From there you can request to be notified when new events are added.
  • This field is for validation purposes and should be left unchanged.