Eligibility Assessment
Submit your medical file for evaluation by our specialist team
This form is used for the preliminary evaluation of your patient file by the specialist team. Filling out the form does not mean acceptance for treatment or any specific treatment outcome.
Documents to prepare before applying
If possible, prepare the following documents before applying. These documents help our specialist team evaluate your case more quickly and accurately.
- Current epicrisis or physician summary
- Pathology/bone marrow reports
- Recent blood tests
- PET/CT, CT, MRI or relevant imaging reports
- Previous treatment summary and medication list
- Contact information for a family member or current physician
First step
Ask for a review, not a commitment.
You do not need to decide anything today. Send us the basics and a physician on our team will tell you whether this pathway is even suitable for you.
We reply within one working day, in your language. If this is not the right route for you, we will say so, clearly and without pressure.
Data protection notice
The information shared in this application form is processed only for the purpose of medical eligibility assessment and coordination of the application process. Submitting an application does not constitute acceptance for treatment, a treatment commitment or a guarantee of treatment outcome. Medical decisions are made by the relevant specialist physicians within the framework of the patient's consent process.
Frequently Asked Questions
Your medical documents are reviewed. If necessary, additional documents or tests may be requested. For patients found suitable, the next evaluation and coordination steps are shared.
The total process varies from patient to patient. It consists of eligibility evaluation, cell collection, cell preparation, pre-treatment planning, infusion and close monitoring stages. The exact schedule is determined after the patient-specific evaluation is completed.
Yes, evaluation can be started based on medical documents. However, current treatments should only be changed or stopped on the recommendation of the physician following you.
The need for a companion may be evaluated according to the patient's clinical condition, city/country of residence and the treatment team's recommendation. A support plan is especially important during the close follow-up period after treatment.