Below is a sample of the emails you can expect to receive when signed up to HAE a.
Troyce Venturella, MPH, RN, CCM
Health Advocate
10560 Main Street Suite PS40
Fairfax City, VA 22030
Office: (866) 798-5598
Mobile: (321) 412-0028
troyce@haea.org
Data Name | Data Type | Options |
---|---|---|
Cellular: | ![]() | |
First name | ![]() | |
Last name | ![]() | |
![]() | ||
Phone | ![]() | |
Home address | ![]() | |
City | ![]() | |
State | ![]() | |
Zipcode | ![]() | |
Date of birth | ![]() | |
![]() | Select... | |
![]() | Select... | |
![]() | Select... | |
![]() | Select... | |
![]() | Select... | |
![]() | What medication(s) do you currently use? | |
![]() | Berinert | |
![]() | Cinryze | |
![]() | Firazyr | |
![]() | Haegarda | |
![]() | Kalbitor | |
![]() | Ruconest | |
![]() | Takhzyro | |
![]() | Select... | |
![]() | Select... | |
![]() | Select... | |
![]() | ||
![]() |