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HTNA Board of Directors

Complete this form to apply to be part of the HTNA Board of Directors. Directors may serve a 3 year term for a total of 6 consecutive years.


When you submit this form, it will not automatically collect your details like name and email address unless you provide it yourself.

Current Primary Role
Years of Clinical Experience in Hemostasis/Thrombosis *Minimum 5 years required*
5-10 years
11+ years
Do you work at HTC?
Yes
No
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