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for physicians: How to enroll your patients

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Please complete the patient identification survey if you would like for them to enroll into the Diamond Blackfan Anemia Registry or if you would like to check if they are already enrolled.

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MAIL

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Diamond Blackfan Anemia Registry

C/o Jeffrey M. Lipton, MD, PhD Hematology/Oncology

Cohen Children’s Medical Center

269-01 76th Ave, Room 255

New Hyde Park, NY 11040

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FAX
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516-562-1599

EMAIL

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DBARegistry@

northwell.edu

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How to return completed forms:

OR

OR

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