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Get a treatmentestimate

Describe the medical case and attach the records. The coordinator hands the request to the partner clinic and returns with a preliminary plan, timeline and estimate

01Contacts

Name *

Country of residence

City

Phone or WhatsApp *

02Medical case

Direction *

Describe the situation *

Preferred trip dates

Companion travelling with you

03Documents

Reports, lab results, scans, CT, MRI, ECG, echocardiogram, doctor’s opinions

Attach medical recordsPhoto, PDF, DOC · up to 5 files, 5 MB each

Photos of the documents are fine. The coordinator will say if another format is needed

I agree to the processing of personal data and the transfer of medical records to the partner clinic after the coordinator’s confirmation Privacy Policy · Data Processing Consent · Terms of Use

Medical data is not shared with clinics without the patient’s consent