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Rare Bleeding Disorders
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News
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Hermanas de Sangre Campaign
Want to Help?
Donate & Fundraise
CHES Champions
DONATE
Home
About Us
Mission
Our Staff
Contact
Programs
Calendar Events
Inhibitors
Rare Bleeding Disorders
Women's Health
Media
Newsletter
News
Video
Equity
Intro
SHEmophilia Campaign
Hermanas de Sangre Campaign
Want to Help?
Donate & Fundraise
CHES Champions
DONATE
Document Upload Center/Centro de carga de Documentos
Use this page to submit your forms to CHES, uploads may include: (Utilice esta página para enviar sus formularios a CHES; las cargas pueden incluir)
Medical Forms for Inhibitor based camps or programs / Formularios Médicos para campamentos o programas basados en Inhibidores
Medical Forms for Rare Bleeding based programs / Formularios Médicos para programas basados en Sangrados Poco Comunes
Patient Assistance Documents / Documentos de asistencia al paciente
Proof of Residency Documents / Documentos de prueba de residencia
Name/Nombre
*
First Name (Nombre)
Last Name (Apellido)
Email/Correo electrónico
*
example@example.com
Select the File Type/Seleccione el tipo de archivo:
*
Please Select
InhibitCon Verification Document/Documentos verificación del InhibitCon
Inhibitor Camp Medical Documents/Documentos médicos del campo de inhibidores
One Drop Program Medical Documents/Documentos médicos del programa One Drop
Patient Assistance Documents/Documentos de asistencia al paciente
Additional Comments or Instructions for your document? (Optional)/¿Comentarios o instrucciones adicionales para su documento? (Opcional)
Please upload your document/Por favor suba su documento
*
Browse Files/Búsqueda de archivos
Drag and drop files here
Choose a file
Cancel
of
Submit/Entregar
Should be Empty:
