HeartNET logo
Australia
Welcome! www.heartfoundation.com.au


www.ecu.edu.au
It must be stressed that any discussion on medical matters and rehabilitation must be treated with caution. There has never been two cases of cardiovascular disease that are entirely identical. One patient's experience is never the same as an other's. Any medical or health-related information which HeartNET members might seek to rely upon should be discussed with their physician before making any changes to health behaviours.

Registration

Welcome to the registration page for HeartNET. In order to login to this site you must first register. Simply complete the form below then click on the "submit registration" icon.

Once submitted your username will appear on the confirmation screen. Please remember the password that you nominate in the form below.

Only the sections in red will be made public to other HeartNET users.

Title:
First Name:
Surname:
Nick Name:
(This will be your identity to display on this website.)
Date Of Birth:  Make this public: Yes
Sex:
Type Of User:   Heart Patient
  Carer/Partner of someone with a heart condition
  Family/Friend of someone with a heart condition
  Other: 

Please only complete the following two fields if you are a heart patient.

Type of Heart Condition:
Initially Diagnosed:


Email Address:

Telephone:
Mobile:
Residential Address:
City In Which You Live:
Suburb:
Country:
 Australia:
 International:

Postcode:
Password:
Security Code: CAPTCHA Image
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