When you use this health evaluator your health information will be incorporated into aggregate de-identified reports by the sponsoring health system, or on its behalf. When your information is aggregated as part of a group report, it will be de-identified so that it cannot be linked back to you. Your information is stored in a secure database for use in statistical analyses and to improve this product.

CORONARY ARTERY DISEASE

First Name

Last Name

Email address

Street Address

(apt, suite, etc.)

City

State

Zip Code

Phone Number

Do you agree to the terms of use?

Yes:By submitting your information and checking the Yes box you agree to the terms of use provided below and in HEALTHCARE_COMPANY_NAME's privacy policy.

Terms of Use: I understand that HEALTHCARE_COMPANY_NAME or approved parties acting on its behalf may use the contact information I am providing, as well as my individual results to send me health and wellness communications. HEALTHCARE_COMPANY_NAME will not sell or transfer my information to any third parties. I understand that from time to time HEALTHCARE_COMPANY_NAME’s privacy policy may change and that I should check HEALTHCARE_COMPANY_NAME’s web site for the most recent version of the PRIVACY_POLICY. I can request to stop receiving these communications by calling UNSUBSCRIBE_OPTIONS.

Thank you for providing your contact information

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