Haemophilia Centre | Auckland | Te Toka Tumai | Te Whatu Ora

Contact Details

Phone (09) 307 4949 extension 25285
Mobile 021 195 4262
Email AKHaem@adhb.govt.nz

Haemophilia Physiotherapy Service:
Phone (09) 307 4949 extension 27025 mobile: 0212447067

Factor Usage Reporting Form

It is important to record when you use Factor, either for prophylaxis or when treating a bleeding episode. This should be done every time you administer Factor. Failure to complete a monthly reporting form may put continuing home supply at risk.

People with Haemophilia managed by the Auckland DHB Haemophilia Centre are required to return a Factor Usage Reporting Form every month. This can be done either by completing a form by hand and sending it to the Centre, or electronically by completing the spreadsheet and emailing it to

A copy of the reporting form can be printed from this website or downloaded directly to your computer. Please see the Factor Usage Reporting Form link below.


https://healthpoint.co.nz/public/haematology/haemophilia-centre-auckland-te-toka-tumai/