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On-line Outpatient Service
Please  email to our expert (cancurity@yahoo.com). (the blank noted * cannot be space.)

Name: *

Sex:M or F

Age: * 

Telephone:Detailed  

address:* 

Facsimile:* 

Zip code: 

Email:* (Attention: The email address must be filled actually.  Our  expert will reply to this mailbox!)

Clinical  character:* 

Inspection  method:*(For example: CT, B ultra, the nuclear magnetic  resonance,  x-ray and ect.)  

Clinical  diagnosis: *

Treatment  status:* *(For example: Chemotherapy, surgery, radiotherapy,  Chinese  medicine and ect. )

Question:* *(Please give a particular description of your question , in order that our expert group acts appropriately to your situation!)

If public: willings or unwilling (If you chose willing, we will publish your medical  record  in related column)

 

Please send to E-mail:cancurity@yahoo.com

 Note: every detail you submitted is important to our     diagnosis.We will reply to you in 24hours. Please confirm     your email address is correct.

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