Free initial assessment

Request a personal treatment assessment

Tell us what you are considering. The coordination team will review your request and explain the appropriate next step.

One coordinator

01Send your requestShare the treatment area and relevant information.
02The treating team reviews itSuitability and possible options are assessed.
03We respond in your languageYour coordinator explains the practical next step.

Health information is handled through the controlled assessment flow.

Photos and documents

After sending the form, you can upload relevant files securely to your request.

What would you like evaluated? *

Your nameEmail

Phone / WhatsApp

Country of residence

Preferred contact language

Relevant medical history

When could you travel? *

Approximate budget (EUR)

Anything else we should know?

I consent to the processing of my personal and health data, including sharing my case with the treating doctor and healthcare provider, for the purpose of preparing my treatment plan.