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Support designed for you

Register for your FREE Heart Failure Handbook and a series of Keep It Pumping emails filled with important information about Heart Failure. Just fill out the fields below and click “Submit” when you’re finished. If you prefer to register by phone, please call 1-844-PUMP4HF 1-844-PUMP4HF (1-844-786-7443) (1-844-786-7443) to speak to a representative.

Registration

Our records indicate that you have already registered for the program.

All fields with an * are required

*First name

*Last name

*Address Line

Address Line 2

*City

*ZIP Code

*Email Address

*Confirm Email Address

*Month/Day/Year of Birth

Home Phone Number

Mobile Phone Number

Are you a Patient or a Caregiver?

What kind of heart failure were you diagnosed with?

Have you been hospitalized for Heart Failure in the last month?

Privacy notice

The personal information you supply to us will be shared with and among our business partners to provide you with products, programs, and services regarding heart failure and other cardiovascular conditions, and to conduct market research. Your information may be combined with additional information from this or other programs in which you participate, such as prescription information when you redeem savings cards or vouchers. We do not permit our business partners to use or share your personal information for their own separate marketing purposes. You have the right to cancel your participation at any time by calling 1-888- NOW-NOVA 1-888- NOW-NOVA (1-888-669-6682) (1-888-669-6682). For further information about Novartis privacy practices, please review our privacy statement.

I agree to receive marketing information, offers, and promotions regarding heart failure, cardiovascular products and programs, and also agree to be contacted for my opinion regarding products, programs, and services. I understand that the information that I provide will be used in accordance with the above Notice and the Novartis Privacy Statement. I understand that unless I unsubscribe, my consent will remain valid. I understand that email and text messages cannot be secured against unauthorized access.

In addition to enrolling to receive HF information, I would like to receive information regarding other Novartis Pharmaceuticals Corporation’s products, programs, and services.