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To submit your case for a first treatment evaluation with Hadrontherapy

send your documentation

1
Download and fill in the questionnaire

ACCESS TO TREATMENT
Download and fill in the following document that must be attached to the subsequent steps.

Download
2
BY MAIL OR BY HAND

BY MAIL OR BY HAND

sending printed material by registered mail with return receipt or hand delivery

CNAO Foundation FAO Medical Directorate Strada Campeggi, 53 - 27100 Pavia (PV)
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ONLINE SENDING METHOD

ONLINE SENDING METHOD

Sending digital material through a fully on-line procedure

Select
3

DOCUMENTAZIONE RICHIESTA

Access to treatment filled in and signed by patient

Copy of waiver

(Se disponibile)

Copy of the end-of-treatment report (in case of previous radiotherapy)

(Se disponibile)

Copy of the histological test

Copy of reports of recent diagnostic tests (CT, PET, MRI, bone scintigraphy)

Copy of any specialist reports relating to the pathology

(Se disponibile)

Supporting report by referring physician
non anteriore a 3 mesi, che contenga le seguenti informazioni: diagnosi malattia, stadio malattia, anamnesi non oncologica, anamnesi oncologica dettagliata, terapie in corso, farmaci, problemi attivi e ogni altra informazione utile alla valutazione

4

Send documentation

Gentile Utente,
i dati indicati di seguito saranno utilizzati al solo fine di ricontattarti per il caso clinico che ci hai sottoposto.
Per maggiori dettagli consulta l’informativa privacy completa presente sul sito

  • Azienda con sistema di gestione per la Qualità Certificata
  • Centre registered with QuESTIO, the mapping of players actively operating in the field of research and innovation
  • Lombardia Life Sciences
  • ESTRO Institutional Member 2019