Enquiry to UKE Hamburg

Enquires to University Medical Centre Hamburg-Eppendorf (UKE)

Scans or reports available for submission

Authorisation to submit an enquiry

What happens next?

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 mail settings.

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

Patient Information

Surname*

Date of birth*

Country*

First name*

UKE Enquiry Form

Surname*

Relation to patient*

Email:*

First name*

Contact Information

Test your e-mail:

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

Telephone

Medical condition*

Further information

Treatment requested

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

Date

Type

Scan or report

We offer links to private scanning centres in an increasing range of countries. These centres can assist you in obtaining recent scans and in the correct format for making enquiries for treatment or second opinions Visit the Scanning Centres page on the A1Med International web site and follow the link for your country.

I am the patient or I am authorised by the patient and I hereby request A1Med to submit this enquiry to UKE Hamburg without cost or commitment to myself. I understand that A1Med works in association with Medilux Healthcare Ltd. (MHL) and that enquiries will be passed automatically to MHL, for forwarding to UKE enquiry services, according to UKE's latest guidelines.

I understand that all clinical and financial decisions will be made by UKE or its subsidiaries and that A1Med's role is confined to facilitating this initial enquiry. I agree that neither PPM Consult Ltd. (owners of A1Med) nor MHL will not be responsible for any treatment or failure to diagnose or adequately treat any condition, whether disclosed or undisclosed.

You cannot submit attachments with this form but please state the date and nature of any scans or medical reports that you have available.

Your enquiry will be forwarded to UKE and they will respond to you directly. If you do not receive a reply within a few days, please check your spam filter as their reply may have been blocked by your system.

Please do not send scans or medical histories to us. We are not doctors and we cannot review or comment upon individual cases. These will be called for by UKE Hamburg if and when required.

Scans and medical records

Communications

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.

Spam filters

Simply send a blank e-mail to:

Did you check your e-mail system? 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. Use our automated e-mail checker at any time to ensure that messages can reach you.

Including Martini Klinik, Hubertus Wald Tumour Centre and Medical Prevention Centre Hamburg

Fields marked * are compulsory

www.a1med.co.uk

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

Important note to all patients

A1Med features selected clinics and certain specialities within individual hospitals, where we believe the standards of care and medical equipment to be exceptional. We provide you with general information and details of how to make contact with the centre. This service is provided in cooperation with Medilux Healthcare Ltd.

We may pass your enquiry to the relevant clinic or department but we cannot advise or enter into correspondence about individual cases and we do not arrange or facilitate treatments. All the centres that we feature have international patient enquiry services which will be pleased to answer your questions about services and costs.