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Submit a Patient Case

Please submit a case for discussion:

Click the icon below to download our case submission form.

Please submit the completed case report form via email or fax 


fax: (866) 730-5480


NO PHI Disclaimer:

PLEASE NOTE that the CLDF ECHO case consultations do not create or otherwise establish a provider-patient relationship between any clinician presenting a case on behalf of the CLDF and any patient whose case is being presented in the HBV ECHO setting. Sharing patient name, initials, or other identifying information violates HIPPA privacy laws.

Accredited by

Provided by

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This program is supported by an educational

grant from Gilead Sciences.