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What is your mother’s maiden name?   Security Answer*   Select the one category below that best describes you        Consumer               Consumer Type Family member of a person with a bleeding disorder General Supporter Person With a Bleeding Disorder               Disorder Type Carrier Hemophilia Factor VIII Factor IX Factor XI Factor I Factor II Factor V Factor VII Factor X Factor XII Factor XIII Factor deficiency von Willebrand Disease (vWD) vWD Type 1 vWD Type 2A vWD Type 2B vWD Type 2M vWD Type 2N vWD Type 3 Acquired vWD Acquired hemophilia Glanzmann’s Thrombasthenia Other platelet disorder Storage Pool Disease Thrombophilia Other Unknown    Provider               Provider Type Physician Nurse Social Worker Physical Therapist Researcher               Speciality Dentistry Dermatology General Practitioner Hematology Hepatology Infectious Disease Obstetrics and Gynecology Orthopedic Pediatric Other               HTC Affiliation None Alaska Hemophilia Program All Children's Hospital Alta Bates Medical Center American Red Cross-Badger Center for Bleeding Disorders Arkansas Center for Bleeding Disorders Backus Children's Hospital Boston Hemophilia Center- Brigham and Women's Boston Hemophilia Center- Children's Hospital Brown Cancer Center Cardeza Foundation Hemophilia Center Cascade Hemophilia Consortium Center for Bleeding and Thrombotic Disorders Charleston Area Medical Center Children's Healthcare of Atlanta at Scottish Rite Children's Hospital Medical Center of Akron Children's Hospital Oakland Children's Hospital of Central California Children's Hospital of Los Angeles Children's Hospital of Michigan Children's Hospital of Orange County Children's Hospital of Palmetto-Richland Memorial Children's Hospital of Philadelphia Children's Hospital of Philadelphia Speciality Center Children's Hospital of the King's Daughters Children's Hospital, San Diego Children's Memorial Hospital Children's National Medical Center Children's Rehabilitation Services Christiana Care Health Services Cincinnati Children's Hospital Medical Center City of Hope National Medical Center Columbus Children's Hospital Comprehensive Bleeding Disorders Center Comprehensive Center for Bleeding Disorders Dartmouth-Hitchcock Hemophilia Center Dayton Children's Medical Center DeVos Children's Hospital DMC Karmanos Cancer Institute East Carolina University East Tennessee Comprehensive Hemophilia Center Eastern Michigan Hemophilia Treatment Center Emory University Hemophilia Program Office Fort Worth Comprehensive Hemophilia Center Forum Health, Youngstown Hemophilia Center Galveston Hemophilia Program Georgetown University Hospital Great Lakes Hemophilia Foundation Guam Comprehensive Hemophilia Care Program Gulf States Hemophilia and Thrombophilia Center Gundersen Clinic Hemophilia and Thrombosis Center of Hawaii Hemophilia Center of Central Pennsylvania Hemophilia Center of Western New York - Adult Hemophilia Center of Western New York - Pediatric Hemophilia Center of Western Pennsylvania Hemophilia Clinic of West Michigan Cancer Center Hemophilia Foundation of Illinois Hemophilia Foundation of Michigan Hemophilia of Georgia, Inc. Hemophilia Outreach Centre Hemophilia Treatment Center Hemophilia Treatment Center of Las Vegas Hemophilia/AIDS Treatment Center at St. Louis University, Dept. of Pediatri Henry Ford Hospital Adult Hemophilia and Thrombosis Treatment Center Idaho Regional Hemophilia Center Indiana Hemophilia and Thrombosis Center John H. Stroger, Jr. Hospital of Cook County Johns Hopkins University Medical Center Kansas City Regional Hemophilia Center Lehigh Valley Hospital Long Island Jewish Medical Center Louisiana Center for Bleeding and Clotting Disorders Maine Medical Center Mary M. Gooley Hemophilia Center, Inc. Mayo Comprehensive Hemophilia Center Medical College of Georgia - Adult Medical College of Georgia Pediatric Hemophilia Program MeritCare Hospital DBA Roger Maris Cancer Center Miami Comprehensive Hemophilia Center - Pediatrics Michael Reese Hospital - Adult Michigan State University Center for Bleeding Disorders & Clotting Disorder Mount Sinai School of Medicine Mountain States Regional Hemophilia and Thrombosis Center Mountain States Regional Hemophilia Center - Tucson Mountain States Regional Hemophilia Center-Utah Munson Medical Center Nebraska Regional Hemophilia Treatment Center Nemours Children's Clinic New England Hemophilia Center Newark Beth Israel Medical Center North Texas Comprehensive Hemophilia Center-Adult Program North Texas Comprehensive Hemophilia Center-Pediatric Program Northwest Ohio Hemophilia Treatment Center Northwestern University Norton Kosair Children's Medical Center Ohio State University Medical Center Oklahoma Center for Bleeding Disorders Oregon Hemophilia Treatment Center Orthopaedic Hospital of Los Angeles Penn Comprehensive Hemophilia Program Phoenix Children's Hospital Puerto Rico Hemophilia Treatment Center Puget Sound Blood Center & Program Rhode Island Hospital Rush University Medical Center Sacred Heart Hospital South Dakota Center for Blood Disorders South Texas Comprehensive Hemophilia Center St. Jude Research Hospital St. Michael's Medical Center Stanford University Medical Center Stroger Children's Hospital of Cook County SUNY Upstate Medical University-Adult Program SUNY Upstate Medical University-Pediatric Program Ted R. Montoya Hemophilia Center Texas Children's Hemophilia and Thrombosis Center The Regional Comprehensive Hemophilia & von Willebrand Trmt Ctr. UCONN Hemophilia Treatment Center UHHS Cleveland UHSH Blood Disorder Center UMDNJ-Robert Wood Johnson University Hospital University of Alabama Birmingham Medical Center University of California at Davis University of California, San Diego University of California, San Francisco University of Cincinnati Medical Center University of Iowa Hospitals & Clinics University of Kentucky Hemophilia Treatment Center University of Michigan Hemophilia and Coagulation Disorders University of Minnesota Medical Center, Fairview University of Mississippi Medical Center University of North Carolina at Chapel Hill University of South Florida - Adult University of Tennessee - Memphis University of Virginia Hospital University of Virginia Hospital Adult Hemophilia Program Vanderbilt University Medical Center Vermont Regional Hemophilia Center Virginia Commonwealth University Wake Forest University School of Medicine Weill Medical College of Cornell University West Michigan Pediatric at Bronson West Virginia University Medical Center Yale University School of Medicine    Chapter               Chapter Affiliation Hemophilia Association, Inc. Hemophilia Foundation of Arkansas, Inc. Central California Hemophilia Foundation Hemophilia Association of San Diego County Hemophilia Foundation of Northern California Hemophilia Foundation of Southern California Hemophilia Society of Colorado Florida Hemophilia Association Hemophilia Foundation of Greater Florida, Inc. Hemophilia of Georgia Hemophilia Foundation of Hawaii Hemophilia Foundation of Idaho Hemophilia Foundation of Illinois Hemophilia/Bleeding Disorders Foundation of Guam Hemophilia of Indiana, Inc. Kentucky Hemophilia Foundation, Inc. Louisiana Hemophilia Foundation New England Hemophilia Association Hemophilia Foundation of Michigan Hemophilia Foundation of Minnesota/Dakotas Mississippi Hemophilia Foundation Rocky Mountain Hemophilia and Bleeding Disorders Association Nebraska Chapter of the National Hemophilia Foundation Hemophilia Foundation of Nevada Sangre de Oro, Inc., Hemophilia Foundation of New Mexico Bleeding Disorder Association of Northeastern New York Hemophilia Center of Western New York, Inc. Mary M. Gooley Hemophilia Center Hemophilia of North Carolina Central Ohio Chapter of NHF Tri State Bleeding Disorders Foundation, A Chapter of NHF Northern Ohio Hemophilia Foundation, Inc Northwest Ohio Hemophilia Foundation Southwestern Ohio Hemophilia Foundation Delaware Valley Chapter Western Pennsylvania Chapter of NHF Hemophilia of South Carolina Tennessee Hemophilia and Bleeding Disorders Foundation Lone Star Chapter of NHF Texas Central Hemophilia Association, Inc. Utah Hemophilia Foundation Hemophilia Association of the Capital Area United Virginia Chapter of NHF Great Lakes Hemophilia Foundation Gateway Hemophilia Association Oklahoma Hemophilia Foundation Bleeding Disorders Foundation of Washington Inland Empire Bleeding Disorders    Industry

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