What should a physician do when FA is suspected?

1. Click on the following to download and save the Proforma:
   
   

   Physician's Proforma - Printable PDF

   
   
2. Once downloaded, open it and take a print out of the proforma.
   
   

   • Kindly fill the proforma as accurately as possible and send it to the registry by post.
     
   • Do confirmatory test for FA, if possible
     Management of the patient will be in the hands of the treating physician

   
   
   
3. Our Address is:
   
   Dr. Revathi Raj
   Paediatric Haematologist
   Apollo Speciality Hospital
   320 'Padma Complex'
   Anna Salai
   Chennai - 600035