Arkansas Heart HospitalMedical ServicesKeep the BeatKeep the Beat Prequalification

Keep the Beat Prequalification

 

Thank you for your interest in scheduling a Keep the Beat appointment. Please complete the questionnaire below to confirm you're eligible.

Name
Are you over the age of 30?(Required)
Have you been diagnosed with coronary artery disease, had bypass surgery or stents placed?(Required)
Do you weigh less than 500 lbs?(Required)
Have you gone through Keep the Beat in the last five years?(Required)
Are you an established patient with Arkansas Heart Hospital?(Required)