Request a patient ID card

The HAE Association will have wallet sized tri-fold cards available in the near future for patients. The card will contain a brief description of HAE and the risk associated with laryngeal swelling. There will be a box provided for the physician to include additional information as the physician sees fit.

In order to obtain a copy, simply fill out the form below or contact Michelle Williamson or Donna Davis directly:

donna-davis@haea.org 808-216-1029
  OR  
michellewilliamson@haea.org 972-814-5205

Name:
Address:
City:
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Zipcode:
Email:
Home Phone:
Work Phone:
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Doctor's Name:
Doctor's Phone:
Hospital:

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You can also obtain a card by calling:
Donna Davis (808) 216-1029 or Michelle Williamson (972) 814-5205

The US Hereditary Angioedema Assoc., Seven Waterfront Plaza, 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813, (866) 798-5598

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