Community Referrals for OBGYNs in PA

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Community Referrals for OBGYNs in PA

Please complete this form if you have an OBGYN who provides the comprehensive care and understanding which you require for your or your daughters' bleeding disorder! We would like to know the providers in PA who are taking great care of our community.

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Email *

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Name of provider/practice: *

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County (ies) which the provider/practice serves:

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Phone number of provider/practice: *

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Website of provider/practice if available:

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Any additional information, or statement of why you are referring this provider/practice:

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