Young Champions Heart Screening Registration

Directions

Registration for our community-based Young Champions Heart Screening Clinics are on a first come, first serve basis, with emphasis on Clark County residents. Weekly screenings are available at PeaceHealth Southwest for $50.

If you would like to register your child for our weekly screening clinic at PeaceHealth Southwest Medical Center, please register online (see form below) to sign up. A representative of the PeaceHealth Southwest Heart & Vascular Center will be in touch to confirm your registration, and please allow us a few days to process your request.

Students must have a completed parent consent form and health history questionnaire to participate. You may download these documents, or call for a mailed copy.
Download "Young Champions" Consent Form (required)
Download "Young Champions" Health History Questionnaire (required)

Questions marked with a red * require a response.