Indore Cancer Foundation Charitable Trust: Cancer Research Institute: Cancer Support Center Indore Cancer Foundation Charitable Trust
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FAQ :: Patient Support System

If you, as a patient have any queries, please fill the format given below. The site intends to offer guidelines for the management of head and neck cancers.

To seek a solution to your problem please fill in the format given and mail or e-mail to the Radiotherapist, IIHNO.

Help line services:

Indore Cancer Foundation
Raj Tilak Manishpuri, Saket extension,
Indore, India, 452018

Patient support form (May be mailed by a patient or medical specialist)

Name

Age

Sex

Address


e-mail

Disease

Stage (extent)

Past history

Chronic illness/Associated disease

Previous Treatment
Surgery
Radiotherapy
Chemotherapy

Current problems

Your questions/expectations

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Address
Indore Cancer Foundation
Charitable Trust
Raj Tilak, Manishpuri, Saket,
Indore, India 452018
Phone: 91 731 2563878

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