To coordinate the introductory meeting and ensure we come prepared, please complete the following steps in order:
Personal Details
Please complete the form below so that we can stay in contact:
Confidentiality Waiver
As a next step, please fill out and sign the medical confidentiality waiver form:
Fill out the form >>Functional Assessment
Please fill out this short questionnaire to assess current functional status.
Fill out the questionnaire >>Medical Summary
Please attach the latest visit summary from the treating oncologist.
Blood Tests
Recent blood tests (including liver function).
You can send the documents (Steps 4 & 5) via WhatsApp or email:
Schedule Meeting
After sending the documents, please click the link to choose a convenient time for the meeting:
Go to calendar & schedule >>📅 A Zoom link will be sent directly to your calendar after registration.
