LVADStrong Educational Outreach Request Form

First responders, security teams, clinics, and community organizations: Request LVADStrong to provide free educational sessions or materials tailored to your team’s needs. Help your staff recognize LVAD devices, respond confidently in emergencies, and create safer environments for patients. Submit your request below, and we’ll coordinate with you promptly.

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Name

First

Last

Phone Number

Organization

of Special Requests

Request Type

In-person training session
Educational materials (digital or printed)
Virtual
Both

Location

Required if requesting in-person visit

Estimated Number of Staff/Attendees

Optional – Helps us prepare materials

Additional Notes or Special Requests

Example: Specific topics, accessibility needs, etc.