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).

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Thalidomide health practitioner evidence form

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Publication date:
Date last updated:
Publication type:
Fact sheet
Audience:
General public
Language:
English

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