Request Your EKG

Request a copy of your child’s EKG

If your child HAS ALREADY BEEN TESTED at a PREVIOUS EKG SCREENING by the Max Schewitz Foundation, you can order a digital copy of your child’s EKG to be sent to you by email for a $15 handling fee. (This form is NOT for upcoming screening registration.) Payments can be made through PayPal Buttons to the right (choose this to also pay by Debit/Credit Card).

PAY WITH PAYPAL OR DEBIT/CREDIT CARD

Use the form to the right to submit a $15 payment. Once the payment is accepted, you will be redirected to a form to fill out the info related to your original screening. We will locate the screening and submit it to you via email.

Please note: EKGs provided prior to the 2014/2015 school year were most likely completed on paper and have been shredded.