Patient Self-Referral TAVR Consultation Form

If you are someone suffering from heart disease due to severe aortic stenosis, you may be a candidate for transcatheter aortic valve replacement (TAVR), a minimally invasive procedure that has been effective in treating patients previously determined as inoperable.

To have someone contact you regarding your interest in TAVR, please complete the following information.







 



 


 

 


 
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https://www.prohealthcare.org/medical-services-heart-and-vascular-self-referral-tavr-consultation-form