Welcome Home—Heart Failure

Welcome to our 12-week MyHeartVisit® Welcome Home program for patients who have heart failure. This program is designed to provide education and peer-support while you recover from your hospital stay. Let us be your partner in your recovery, working to keep you healthy and at home where you belong.

Name

First Name

Last Name

Phone

(###)

###

####

Zip Code

Would you like to be connected with a trained volunteer for peer support? (Support calls are every 2 weeks.)

Are you a patient or a caregiver?

Hospital or Clinic

Please let us know which hospital or clinic you were last treated at for heart failure.

Welcome Home—Heart Failure

The Mended Hearts, Inc.