AHA Health Tech Competition 2026 Application Form

AHA Health Tech Competition 2026 Application Form
This document outlines all fields and questions included in the official application form for the American Heart Association Health Tech Competition 2026, taking place during American Heart Association Scientific Sessions at McCormick Place Convention Center in Chicago, Illinois, November 6–9, 2026.
1. Contact Information
Prefix
First and Last Name

First NameLast Name
Email
example@example.com
Work Phone
Please enter a valid phone number.Format: (000) 000-0000.
2. Company Information
Company Name
Company Website
Date Founded

MonthDayYear
3. Address
Home Address / Street Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
If you selected ‘Other’ for country, please specify your country here.
4. Company Profile
Company / Solution Description

Other
Amount of Funding Raised
Funders
Please list any investors, grants, awards, or other funding sources
5. Market & Commercialization
Primary Audience Base / Market
If you selected ‘Other’ for Primary Market, please specify you Market here.
Secondary Audience Base / Market
If you selected ‘Other’ for Secondary Market, please specify you Market here.
Is your health tech solution currently in market/commercially available?
Does your health tech product/solution/service have FDA clearance/approval?
6. Evidence & Validation
Have you completed any studies or trials?
Please Describe
If you answered “Yes” above, please provide up to 200 words describing any clinical trials, pilot studies, published research, or other evidence demonstrating efficacy. Please include relevant outcomes, findings, and links where available
Does your health tech product / solution / service use American Heart Association Science or Guidelines?
Please Describe
If you answered Yes above, please provide details about how your solution incorporates AHA science or guidelines.
7. Attendance Confirmation
Please acknowledge the statement to confirm your agreement.
8. Leadership
Name of Medical Advisor or Chief Medical Officer
9. About your Solution
Describe your technology and its impact
10. Supporting Documents
The presentation should include:
1. Company overview
2. Problem statement
3. Solution overview
4. Market opportunity
5. Business model
6. Competitive landscape
7. Traction and/or supporting evidence
8. Leadership team
9. Funding needs and use of capital
Please attach a brief company overview presentation (maximum 10 slides; PDF preferred).

Cancelof
Please acknowledge the statement to confirm your agreement.
Should be Empty:

AHA Health Tech Competition 2026 Application Form

1. Contact Information

2. Company Information

3. Address

4. Company Profile

5. Market & Commercialization

6. Evidence & Validation

7. Attendance Confirmation

8. Leadership

9. About your Solution

10. Supporting Documents