Referral form for physicians I Center for Integrative Oncology

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Advice & treatment
Our locations
- Zurich
- Lake Zurich
- Glarus
- Winterthur
- Uster
About us
Emergency
Make an appointment
For doctors
Your opinion
Jobs
News & Media
Contact us
English

Home › For doctors › Referrer

Patient registration

Step 1 of 3

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Your contact details (referrer)
Name
First name Second name
e-mail*
Telephone
Clinic / Practice
Patient data
Name and date of birth
Last name First name Date of birth
Address
Street, No Zip code / City
Telephone
Private Business NaTel
AHV number
Making an appointment
Making an appointment
- Please offer the patient directly
- Patient registers himself
- Make an appointment via the responsible doctor
- In case of emergency (please call +41 44 448 30 00 - thank you)
- In the next 2 weeks
- Other
Other

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Registration for ZIO location
- ZIO Zurich
- ZIO Richterswil
- ZIO Glarus
- ZIO Winterthur
- ZIO Uster
Registration for
- Consultation: assessment and treatment proposal
- Initiation / implementation of the therapy
- Psycho-oncological counseling
- Transfusions
- Complementary co-treatment
- Hyperthermia
Reason for assignment
- Main diagnosis / suspected diagnosis
- Existing findings
- Other
Main diagnosis / suspected diagnosis
Existing findings
Other
Further diagnostics
- Can be carried out directly by the ZIO
- After consultation with the referring physician
Additional information
Concomitant diseases
Allergies
Other

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Please send findings / reports in advance or give them to the patient.
Findings
- Medical reports
- Pathology
- Imaging
- Laboratory
- Current medication list
Remarks
Brief information by telephone or e-mail after first consultation desired
- Yes
- No
Please send copies of the reports to:
Privacy policy*
- By using this form, you consent to the storage and processing of your data by this website. (mandatory field)
If you have any questions or queries, simply give us a call: +41 44 448 30 00
Comments
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Patient registration

Patient registration

ZIO ZURICH

Hardturmstrasse 133
CH-8005 Zurich

Phone: +41 44 448 30 00
e-mail

Opening hours Mon-Fri
08.00-17.30 hrs
Availability by telephone
08.30-17.00

ZIO Lake Zurich

Chrummbächliweg 2
CH-8805 Richterswil

Phone: +41 44 787 27 07
e-mail

Opening hours Mon-Fri
08.00-17.00 hrs
Availability by telephone
08.00-12.00 and 14.00-17.00

ZIO Glarus

Schweizerhofstrasse 1
CH-8750 Glarus

Phone: +41 55 640 44 44
e-mail

Opening hours Mon-Thu
08.00-17.00 hrs
Availability by telephone
08.00-17.00 hrs

ZIO Winterthur

Brunngasse 6
CH-8400 Winterthur

Phone: +41 52 224 48 80
e-mail

Opening hours Mon-Fri
08.00-16.45
Availability by telephone
08.00-16.45

ZIO Uster

Industrial Park 9
CH-8610 Uster

Phone: +41 44 440 00 26
e-mail

Opening hours Mon-Fri
08.00-17.00 hrs
Availability by telephone
08.00-17.00 hrs

© Copyright - Center for Integrative Oncology . Hardturmstrasse 133 . CH-8005 Zurich | Imprint | Data protection | A company of the NSN medical AG

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