My Heart Program Registration Are you an Oklahoma County resident? Required Yes No What is your zip code? Required Do you have, or think you have, any of the following? (Please check all that apply) Required Diabetes High Blood Pressure High Cholesterol I'm not sure Do you have a Primary Care Physician? Required Yes No Please provide your name (first and last). Required How old are you? (must be between 20 and 64 to qualify) Required Primary Language Spoken Required
