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DHA Form 454: DOD Centers of Excellence Intake Form

Are you a provider?

You'll be able set up a Virtual Amputations and Prosthetics Board to discuss a case. You'll also be able to establish regular Virtual Amputations and Prosthetics Boards between your institution and the DOD providers in our limb trauma community.

Are you a patient?

We’ll be a clearinghouse to “match” your request and needs with your closest DOD medical facility that offers the capabilities you need.

Check back for regular updates and links on this page. To set up an Amputations and Prosthetics Case Conference, make a patient referral, or make any inquiry, please email EACE.

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