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Pour soumettre votre cas pour une première évaluation de traitement avec Hadrontherapy

Téléchargez votre documentation

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ACCÈS AUX TRAITEMENTS
Téléchargez et remplissez le document suivant qui doit être joint aux phases suivantes.

Téléchargez
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MÉTHODE D'ENVOI EN LIGNE

MÉTHODE D'ENVOI EN LIGNE

Envoi de documents numériques via une procédure entièrement en ligne

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PAR COURRIER OU À LA MAIN

Envoi du matériel imprimé par courrier recommandé ou remise en mains propres

Fondation CNAO C.a. Direzione Medica Strada Campeggi, 53 - 27100 Pavie (PV)

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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.

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Envoyez la 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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