IMMUMEDIC · Plataforma europea de información sobre terapia con células dendríticas · Sin promesas de curación
Structured medical intake

Practice / Clinic – Case and Cooperation Enquiry

This form combines information about the medical facility with the structured intake of a patient case. This allows IMMUMEDIC to prepare diagnostics, DCT processes, logistics and further cooperation in a targeted manner.

How It Works

One Form – Two Levels

First enter your practice or clinic details. This is followed by the established medical case intake with history, diagnosis, course and requested orientation.

1

Facility

Contact details, specialty, possible services and infrastructure.

2

Patient Case

Medical history, tumour diagnosis, biomarkers, metastases and previous treatments.

3

Orientation

DCT, immune status, tumour dynamics, combinations and organisational cooperation.

P Practice / Clinic / Medical Facility
1Contacto
2Health
3Diagnóstico
4Request
1 Contact regarding the patient case and preferred response
2 General medical history
3 Cancer diagnosis and previous course
4 Requested orientation and diagnostics
Reports / Medical Letters / Laboratory Results: After submitting, please send sensitive documents quoting the case ID to info@dendritische-zelltherapie.info In V1.0, no medical documents are stored through an unsecured web upload.
Ihre Anfrage wird an info@dendritische-zelltherapie.info gesendet.

After successful submission, your case ID will be displayed directly on the confirmation page.

ORIENTACIÓN

¿Paciente o profesional sanitario?

Ambas vías se mantienen separadas para que cada consulta pueda dirigirse correctamente.

Llamar a Rita+49 30 439 792 5331