Request an appointment

Submitted by justine.doz@ly… on Wed 04/09/2019 - 15:29

Ask our international team about your medical case

Patient’s information
Gender
Mailing address
Please attach now a copy of your passport in international letters
One file only.
6 MB limit.
Allowed types: pdf, jpg, jpeg, png.
Since you are contacting us on behalf of another person, we also want to have your contact details.
For pediatric hematological cancer, you must contact IHOPE directly on +33 (0)4 69 16 65 50 or +33 (0)4 69 16 75 50.

Please find below the list of documents which must then be sent to our service. These documents must be in .pdf format and we invite you to prepare them

  • Medical imaging at least the pre and post operative imaging of each intervention and recent good quality imaging with the name of the patient and the legible examination date (Link to upload your images in DICOM format : https://webupload.acetiam.eu/upload/CLB/ )
Recent medical letter from a referring oncologist including a complete and chronological summary of the disease
One file only.
3 MB limit.
Allowed types: pdf, jpg, jpeg, png.
The treatments envisaged by the doctors in charge of the patient
One file only.
3 MB limit.
Allowed types: pdf, jpg, jpeg, png.
Surgery reports with the patient name and the examination date legible on each page
One file only.
3 MB limit.
Allowed types: pdf, jpg, jpeg, png.
Histological reports including immunohistochemistry with patient name and examination date legible on each page
One file only.
3 MB limit.
Allowed types: pdf, jpg, jpeg, png.
The chemotherapy reports with the dates of the treatments, the name of the molecules
One file only.
3 MB limit.
Allowed types: pdf, jpg, jpeg, png.
Radiotherapy reports with dates, doses received, volumes
One file only.
3 MB limit.
Allowed types: pdf, jpg, jpeg, png.
Please write down any important information below that may help us respond to your request quickly.