MyHeart MyLife

MyHeart MyLife

Tailor your journey

Help us to tailor the support you receive by telling us about your connection with heart disease

*Required fields

What is your main reason for joining the MyHeart MyLife program?*

I am living with heart diseaseI am caring for someone with heart disease

When was your most recent heart event or diagnosis?*

If you can't remember, an estimate is fine

Which of the following have you been diagnosed with or undergone?(Optional)

Heart attack

Angina or chest pain

Cardiac stent

Blocked arteries

The National Heart Foundation of Australia ABN 98 008 419 761 (Heart Foundation, we, us, our) collects your personal information and health information as part of the My Heart, My Life Program (the Program) to enable us to provide you with personalised information, tools and support in respect of your heart disease, to conduct program evaluation and for other purposes as set out in our Privacy Policy. Providing us with the requested personal information is not required by Law, but if you do not provide us with this information, we may be unable to register you for the Program.

Our Privacy Policy sets out further information about:

• how you may access the information that we hold about you and seek correction of that information; and
• how you may complain about a breach of the Australian Privacy Principles and how we will dealt with such a complaint.

A copy of our Privacy Policy is available at www.heartfoundation.org.au/privacy-policy or on request. If you have any questions about this privacy collection statement or how we handle personal information, please contact our Privacy Officer via GPO Box 9966 in your capital city, privacy@heartfoundation.org.au or by calling 13 11 12.

By ticking this box, you consent to the collection, use and disclosure of your personal information and sensitive information for the purposes set out above and as otherwise set out in our Privacy Policy