Haemophilia Treatment Centre (HTC) - Directory
1. Center Information
Name of the Center / Institute
*
City/Town
*
Address
Country/Region/Territory
*
Name of HTC In-Charge
*
Email ID
*
Dr.
Mr.
Ms.
Website of the center (If available)
Name(s) of the other contact persons
Title
Name
Email
Dr.
Mr.
Ms.
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2. Services Available
Diagnosis
Factor Assays
*
Yes
No
Inhibitor Screening
*
Yes
No
Inhibitor Assay
*
Yes
No
Treatment
Factor Replacement
*
Yes
No
ITI
*
Yes
No
Surgery
*
Yes
No
Physiotherapy Services
*
Yes
No
Occupational Therapy services
*
Yes
No
24/7 service
*
Yes
No
Weekend Services
*
Yes
No
Health Care Professionals
Physician/Paediatrician/Haematologist
*
Yes
No
Nurse Co-Ordinator
*
Yes
No
Physiatrist/Rheumatologist
*
Yes
No
Orthpaedics/Other Surgeon
*
Yes
No
Physiotherapist
*
Yes
No
Occupational Therapist
*
Yes
No
3. Filling Information
Person filling this form
*
Email ID
*
Submit
