register your hospital

"*" indicates required fields

(ideally this should be short and appear first in English, then followed by the local name)
(usually the summarized introduction appearing on the google search, or on the first page of the center web site)
Picture of the hospital or logo :
Max. file size: 350 MB.

Contact

The foundation will not provide medical information to the patients. We need an email address with the guarantee that the emails from the patients will be read and answered. This point is probably the most relevant regarding the reputation of your hospital.

Additional Information

DIAGNOSIS

Diagnosis*
Select names of the diseases that can or could be treated by radiotherapeutics at your center.
Please specify a diagnosis not listed
Affected Organ*
Diagnosis Imaging Technology*

RADIOTHERAPEUTICS

Check the drugs you have access to in your facilities*
You may add drugs not listed

CLINICAL TRIALS

Is your center recruiting patients for clinical trials using radiotherapeutics?*
If Yes, for which diagnosis?
Please specify a diagnosis not listed

Frequently Asked Questions

How long will it take for my center to be listed on the map?

This form is intended to add your center to the treatment locations map. After completing this form, please allow three to five days for us to add your information. If your site appears already on the map but you need to modify some information, please contact us.

What if I do not have a photo and description of my center?

If you cannot provide the photo and short description paragraph of your center, we will take what is shown on Google and/or your website. Full address and website link is the minimum we need.