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Particle Therapy Coordination for International Patients

For general inquiary: info@apiskorea.com

Please complete the form below.
You may proceed without uploading medical documents at this stage.

Full Name

Emaill

Country of Residence

You are

Age

Primary cancer site

Ability to travel to Korea

Clinical status (select all that apply)

Recurrent cancer Treatment-resistant cancer Prior radiotherapy to the same area Unresectable or inoperable cancer Newly diagnosed

Metastatic status

No known metastasis Limited metastasis (1–3 lesions) Multiple metastases (more than 3 lesions) Not sure / unknown

Metastatic sites (select all that apply)

Lung Liver Bone Lymph nodes Brain Other / not sure

Diagnosis / Condition Summary

I understand that this preliminary review is non-clinical and does not constitute medical advice.

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We will review the submitted information and contact you by email if additional details are required.

First Name

Last Name

Phone Number

Diagnosis

Describe your condition