Application for HIFU

1. Specify the Surname First Name Patronymic (if any)*

2. Specify your diagnosis:

3. Select the neoplasm you would like to remove with HiFu?* Fibromyoma of the uterus
Formations of the prostate
Breast tumors
Tumors of the liver
Tumors of the pancreas
Tumors of the kidneys
Tumors of the bladder
Tumors of the rectum
Soft tissue sarcomas
Bone neoplasms
Metastatic lymph nodes
Another

4. Enter your place of residence:*

5. Specify the method of communication suitable for you: Phone*

WA, Telegram

e-mail

other