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YOUNG HEARTS FOR LIFE (YH4L) CARDIAC SCREENING PERMISSION FORM DOWNERS GROVE NORTH H.S., 11/2/2017 ***Please visit www.YH4L.org to register online ****If you do not have email access, please return
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Step 1: Start by gathering all necessary documents and forms. This may include an application form, medical history form, consent form, and any other required paperwork.
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Step 2: Carefully review all instructions and guidelines provided by Young Hearts for Life to ensure accurate and complete information is provided.
03
Step 3: Fill out personal information section, including name, address, contact details, and date of birth.
04
Step 4: Provide relevant medical history information, such as previous heart conditions, surgeries, medications, and any known family history of heart problems.
05
Step 5: Complete the consent form, ensuring that all necessary signatures are obtained from the participant or their legal guardian if under 18 years old.
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Step 6: Double-check all information provided for accuracy and completeness before submitting the filled-out form.
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Step 7: Submit the completed form to the designated Young Hearts for Life office or organization as instructed.

Who needs young hearts for life?

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Young Hearts for Life is aimed towards individuals, particularly young people, who may be at risk of undiagnosed heart conditions. This may include students in middle schools, high schools, or college/university settings.
02
While anyone can benefit from heart screenings, Young Hearts for Life focuses on providing these services to young individuals who may not have access to regular medical check-ups or who have specific risk factors, such as a family history of heart conditions.
03
It is important to consult Young Hearts for Life's guidelines and eligibility criteria to determine if you or someone you know falls under the target population for their services.
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Young Hearts for Life is a program that provides free heart screenings to high school students in the Chicagoland area.
High school students in the Chicagoland area are required to participate in the Young Hearts for Life heart screening program.
Students can fill out the required consent forms and attend the scheduled heart screening event at their high school.
The purpose of Young Hearts for Life is to detect heart conditions in young individuals early on and potentially prevent sudden cardiac death.
The information reported on Young Hearts for Life includes personal and medical history, as well as the results of the heart screening.
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