Pediatric Heart Center - Support Network














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Family Support Network

The Family Support Network is for children, parents, or other family members who have been affected by congenital heart disease, arrhythmias, or other heart problems. The purpose of this network is to provide support and information to families, through families who have had similar experiences.

You can e-mail the Family Support Network using the form below (all fields are required).


I request communication with my health care team by email. I understand that discussing medical information through email is not a safe and confidential means of communication. I understand that communicating through email is not HIPAA compliant and that my medical information, or that of the patient for whom I am a guardian, is not protected.
  Acknowledged and accepted.
Name:
Email Address:
Telephone Number: () -     daytime     evening
Subject:
Message:
We regret that the following spam-prevention input is necessary. If it causes you problems, please contact us by one of the other methods described above the form.
Number at Right:
 
 

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