Atrial Fibrillation Class

To register for an Atrial Fibrillation Class please fill out the following information. Your RSVP will be sent to a Nurse Practitioner in the Atrial Fibrillation Program. Class size is limited. All registrants will be contacted in the event of a schedule change.

Required fields are marked with an*

Date and name of class in which you want to attend*   

First name*   

Last name*   

Phone number*   

E-mail address

Address

Name of physician treating your AF?

How did you hear about the classes?