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To submit your case for a first treatment evaluation with Hadrontherapy

send your documentation

AGAINST RADIO-RESISTANT AND INOPERABLE TUMORS › Access to treatment › 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

For the preliminary assessment by the healthcare professionals, please send all documents listed below:

“Access to treatment" form completed and signed by the patient

Copy of histological examination

Copy of most recent MRI (magnetic resonance imaging) and/or CT (computed tomography) performed within 3 months (report and images in DICOM format)

Copy of the most recent report/referral of examination by the referring doctor, with update date within 3 months from the sending date of the request for consultation.

In case of surgery performed within the last 12 months, to be added:

Copy of the report of last surgery

Copy of pre-operative MRI (magnetic resonance imaging) and/or CT (computed tomography) scan (report and images in DICOM format)

In case of previously performed radiation treatment, to be added:

Copy of report of previous radiation treatments

Please send the diagnostic images in DICOM format so that they can be properly read by the medical staff.

It is possible that you are asked for additional documentation based on the examination of the initially requested one. Clinical documentation received in a manner not complying with the above and/or specifically requested will not be considered.

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

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