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  • Hemophilia Foundation of Maryland Membership Application

    Membership is FREE. Please complete the form below so we may best serve you. All new members will receive a new member welcome package. To learn more about HFM, visit www.hfmonline.org.
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  • By selecting Apply for Membership below, I confirm that I am an individual with a congential bleeding disorder or a parent of a person with a bleeding disorder.  I certify that the information included on this application is true and correct.  I authorize this release of information to the Hemophilia Foundation of Maryland in order to verify all statements made in this application.  I also give permission to contact a representative at my local hemophilia treatment center or hemotologist office as necessary to confirm diagnosis.  

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