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Enquiry for Proton Therapy
There is no fee for using this service and no commitment.
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Authorisation to submit an enquiry
Please be as precise as you can about the patient's current condition to be treated
Proton Therapy Enquiry Form
I am the patient or I am authorised by the patient and I hereby request MHL to submit this enquiry to the selected proton therapy centre(s). I understand that all clinical and financial decisions will be made by the centre(s) and that MHL's role is confined to facilitating this initial enquiry. MHL will not be responsible for any treatment or failure to diagnose or adequately treat any condition, whether disclosed or undisclosed.
What happens next?
If you have supplied sufficient information we will send your enquiry to your selected proton therapy centre(s) and they will respond to you directly. If we cannot submit your enquiry for any reason or more information is needed we will tell you by e-mail.
Which proton therapy centre(s) would you like to apply to?
Rinecker Proton Therapy Centre, Munich, Germany.
ProCure Proton Therapy Centers, USA.
Please type these characters  into the box. Letters must be typed in upper or lower case as you see them.
Fields marked * are compulsory
Patient Information
Surname*
Date of birth
Country*
First name*
Contact Information
Surname*
Relation to patient*
E-mail:*
Test your e-mail:
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 your mail settings.
E-mails are not read so do not send enquiries to this address.
Telephone
Treatment requested
Medical condition*
Further information
Date
Type
Scan or report
If you have any further scans or medical reports available, please list these here, so that the centres can ask for them if required.
We offer further information on private scanning centres in many countries to assist you in making enquiries for treatment or second opinions. Visit the Scanning Centres page and follow the link for your country.
Scans or reports available for submission
Do you have any scans or reports for the centres to review? You can upload these here.
Note: MHL cannot review and comment upon uploaded files, but these will be made available to your selected centre(s). Files will be stored for a few weeks only and then deleted.
Please allow time for any atached files to upload!
First name*
Gender*
We are not doctors and we cannot review or comment upon individual cases.
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
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 in case it has been intercepted in this way.
Rinecker Proton Therapy Centre reception
Proton therapy centre, Munich, Germany
Lobby of Oklahoma proton therapy centre
MHL (Medilux Healthcare Ltd.) promotes individual hospitals or hospital groups which we believe offer high standards of care. We provide you with general information and details of how to make contact with the centre, but we shall not be responsible for the quality of any diagnosis or treatment given or for the failure to diagnose or treat any condition. We cannot advise or enter into correspondence about individual cases and we do not arrange or facilitate treatments.
Important note to all patients
Rinecker Proton Therapy Centre, Munich, Germany
ProCure Proton Therapy Center, Oklahoma, USA
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