Thalidomide health practitioner evidence form
This form is a template for health practitioners to provide evidence to support an eligible thalidomide survivor (patient) to receive support from the Extraordinary Assistance Fund (EAF) or the Health Care Assistance Fund (HCAF).
Downloads
Thalidomide health practitioner evidence form
We aim to provide documents in an accessible format. If you're having problems using a document with your accessibility tools, please contact us for help.
Publication date:
1 April 2021
Last updated:
4 January 2022
Publication type:
Fact sheet
Intended audience:
General public
Part of a collection: