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:
1 April 2021
Last updated:
4 January 2022
Publication type:
Fact sheet
Intended audience:
General public
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