Contact for Patients https://www.nct-dresden.de/en/forms/contact-for-patients https://www.nct-dresden.de/@@site-logo/logo-nct.svg Contact for Patients Register as a Patient Related persons of Patient Firstname of Patient Lastname of Patient Birthday E-Mail Consent I confirm that this email address may be used for the communication and transmission of information and data relating to my medical condition Telephone number for questions It is a matter of Tumour diagnosis without current therapy a disease that has already been treated or a question about study inclusion? Date of diagnosis What type of tumour disease is it? Do you have statutory or private health insurance? private legal Health condition The patient is in good enough health to present himself/herself in Dresden. Comment Declaration of consent for data transmission Allowed types: image/png, image/jpeg, .pdf. In order to process your enquiry, it is essential that you send us your signed declaration of consent for data transmission (PDF/JPG/PNG). You can download the form here:Declaration of consent for data transmission Referral slip / copy of the insurance chip card with cover letter If you are a patient with statutory insurance, please send us a referral form. (PDF/JPG/PNG) If you are a private patient, please upload a copy of your insurance chip card along with a cover letter regarding your specific question. (PDF/JPG/PNG) Previous findings regarding your illness Please submit your medical records here as a PDF file. These include medical letters (inpatient and outpatient), histopathology reports, including reference histology if applicable, surgical reports, previously administered chemotherapy or drug-based tumor therapy, including the name of the drug and the time period of administration, current laboratory results, and written imaging reports (initial and follow-up). more previous findings regarding your illness Allowed types: image/png, image/jpeg, .pdf more previous findings regarding your illness Allowed types: image/png, image/jpeg, .pdf more previous findings regarding your illness Allowed types: image/png, image/jpeg, .pdf more previous findings regarding your illness Allowed types: image/png, image/jpeg, .pdf Please note the file size restrictions when submitting your uploaded data. A maximum of 20 MB is possible. If you would like to send us more than one file, please use the e-mail address zweitmeinung.nct-ucc@ukdd.de CD can you send via postal service to:National Center For Tumor Diseases Dresden (NCT/UCC)House 31C, OfficeFetscherstraße 74, 01307 Dresden Submit
