Information to carry with you

Print out this page and keep:

Personal Physician name
.....................................................................................................................................

Hospital office address
.....................................................................................................................................

Telephone number
.....................................................................................................................................

Cardiologist name
.....................................................................................................................................

Cardiologist's telephone number
.....................................................................................................................................

Surgeon name
.....................................................................................................................................

Surgeon's telephone number
.....................................................................................................................................

Hospital
.....................................................................................................................................

Hospital address
.....................................................................................................................................

Medications
.....................................................................................................................................

.....................................................................................................................................

Date of implant
.....................................................................................................................................

Position
.....................................................................................................................................

Valve type
.....................................................................................................................................

Serial number
.....................................................................................................................................