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CANADIAN HEMOPHILIA SOCIETY VOLUNTEER APPLICATION FORM (Please print in ink) CONTACT INFORMATION First Name Last Name Address Street Suite/Apt City Province Postal Code Telephone Home Business Fax
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How to fill out contact information - hemophiliaca:

01
Start by gathering all the necessary information such as full name, address, phone number, and email address.
02
Double-check the accuracy of the information you are providing. Any mistakes or typos could lead to difficulties in contacting you.
03
Make sure to include any additional information that may be relevant for the hemophiliaca community. This could include specific medical conditions or requirements, emergency contact information, or additional resources that may be beneficial.
04
If applicable, provide your healthcare provider's contact information, including their name, phone number, and address. This will allow others to easily get in touch with your healthcare team if necessary.
05
Consider including any specific preferences or instructions for communication. For example, if you prefer to be contacted via email rather than phone, make sure to indicate that in your contact information.

Who needs contact information - hemophiliaca:

01
Individuals with hemophilia or any other bleeding disorders would benefit from having their contact information readily available. This would allow healthcare providers, emergency personnel, or support groups to easily reach out in case of emergencies or for ongoing care.
02
Family members or caregivers of individuals with hemophilia should also have access to their contact information. This ensures that they can quickly provide necessary information in case of emergencies or when seeking medical advice.
03
Hemophilia treatment centers, clinics, or organizations may require contact information for their databases or to provide support services. By sharing your contact information, you can stay connected to the hemophiliaca community and receive updates on research, events, and educational resources.
Remember, maintaining accurate and up-to-date contact information is crucial for effective communication within the hemophiliaca community and to ensure the best possible care for individuals with bleeding disorders.
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