Enquiry for Proton Therapy

There is no fee for using this service and no commitment.

Rinecker Proton Therapy Centre, Munich, Germany

Rinecker Proton Therapy Centre reception

ProCure Proton Therapy Center, Oklahoma, USA

PPM Consult Ltd. promotes selected clinics and certain specialities within individual hospitals inassociation with Medilux Healthcare Ltd. (MHL), where we believe the standards of care or medical equipment to be exceptional. We provide you with general information but we cannot advise or enter into correspondence about individual cases and we do not arrange or facilitate treatments. We shall not be responsible for the outcome of any treatment or failure to diagnose or treat and we recommend that all patients obtain professional medical advice on their proposed treatments.

Important note to all patients

We provide enquiry forms or other contact details for the treatment or diagnotic centres featured and these centres will be pleased to answer your questions about services and costs.

Authorisation to submit an enquiry

Please be as precise as you can about the patient's current condition to be treated

Proton Therapy Enquiry Form

I am the patient or I am authorised by the patient and I hereby request MHL to submit this enquiry to the selected proton therapy centre(s). I understand that all clinical and financial decisions will be made by the centre(s) and that MHL's role is confined to facilitating this initial enquiry. MHL will not be responsible for any treatment or failure to diagnose or adequately treat any condition, whether disclosed or undisclosed.

What happens next?

If you have supplied sufficient information we will send your enquiry to your selected proton therapy centre(s) and they will respond to you directly. If we cannot submit your enquiry for any reason or more information is needed we will tell you by e-mail.

Which proton therapy centre(s) would you like to apply to?

Rinecker Proton Therapy Centre, Munich, Germany.

ProCure Proton Therapy Centers, USA.

Please type these characters into the box. Letters must be typed in upper or lower case as you see them.

Rinecker Proton Therapy Centre

ProCure Proton Therapy Centers

Fields marked * are compulsory

Patient Information

Surname*

Date of birth

Country*

First name*

Contact Information

Surname*

Relation to patient*

E-mail:*

Test your e-mail:

Please send a blank e-mail to our test service and wait for the auto-response. If you do not receive this, check your spam filter or your mail settings.

E-mails are not read so do not send enquiries to this address.

Telephone

Treatment requested

Medical condition*

Further information

Date

Type

Scan or report

If you have any further scans or medical reports available, please list these here, so that the centres can ask for them if required.

We offer further information on private scanning centres in many countries to assist you in making enquiries for treatment or second opinions. Visit the Scanning Centres page and follow the link for your country.

Scans or reports available for submission

Do you have any scans or reports for the centres to review? You can upload these here.

Note: MHL cannot review and comment upon uploaded files, but these will be made available to your selected centre(s). Files will be stored for a few weeks only and then deleted.

Please allow time for any atached files to upload!

First name*

Internet and e-mail are used to ensure that enquiries are handled rapidly and efficiently, however these are not secure media and we shall not be responsible for information which may be accessed without authorisation or fails to arrive. By contacting us in this way patients or doctors indicate their agreement with us that the avoidance of unnecessary delay for patients with serious medical conditions outweighs any such small risks.

We are not doctors and we cannot review or comment upon individual cases.

Communications

Spam filters

E-mails from unfamiliar sources may be blocked by your spam filter. If you do not receive a reply from us or your chosen centre, check your spam or junk mail box in case it has been intercepted in this way.

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A1Med is an information and marketing service from PPM Consult Ltd.