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EMAHSN
Thank you for taking the time to fill in this form with the details for each of your AliveCor Kardia devices.

AliveCor and EMAHSN will only use the email addresses provided to help monitor the use and allocation of the devices across the East Midlands. If the email address you have used to register on the AliveCor Kardia app is not your nhs.net email address, please ensure you provide us with any other email addresses during registration.

AliveCor will provide EMAHSN with the following information:
  • Number of trace recordings taken
  • The number of tests with a normal result
  • Possible AF results
  • Unclassified results.
No patient identifiable data will be collected by AliveCor or shared with EMAHSN as part of this process. This is a requirement of the programme until March 2019 and will provide useful information to support the evaluation of how effective the use of AliveCor Kardia devices have been in improving the diagnosis of atrial fibrillation.

Please provide the following information about your practice
CCG Name
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Practice Name
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GP Clinical System
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Please specify
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Based on the devices you have been sent - please fill in the app email addresses used for registration for all people using the devices in your practice/s.
Device 1
AliveCor Kardia app user registration email address
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nhs.net Email Address
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Device 2
AliveCor Kardia app user registration email address
Invalid Input

nhs.net Email Address
Invalid Input

Device 3
AliveCor Kardia app user registration email address
Invalid Input

nhs.net Email Address
Invalid Input

Device 4
AliveCor Kardia app user registration email address
Invalid Input

nhs.net Email Address
Invalid Input

Device 5
AliveCor Kardia app user registration email address
Invalid Input

nhs.net Email Address
Invalid Input

Device 6
AliveCor Kardia app user registration email address
Invalid Input

nhs.net Email Address
Invalid Input

Device 7
AliveCor Kardia app user registration email address
Invalid Input

nhs.net Email Address
Invalid Input

Are you human?
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Should you set up a new AliveCor Kardia account or change the address used to register on the Kardia app before March 2019, please inform the EMAHSN Project Manager (see contact below)

Please remember you will by default be provided 30 days free premium account when you register when this expires it will revert to a free Basic account (required for this programme). See Alivecor Kardia device Instructions for Practices User Guide.

If you need any further help please contact EMAHSN Project Manager, Guy Wood at: This email address is being protected from spambots. You need JavaScript enabled to view it.