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At IEO, certified copies of the following medical records may be requested:
Medical records related to hospitalization
Medical records related to outpatient services
Related to outpatient services
In accordance with current regulations the following subjects may request clinical documentation.
Payments can be made by bank transfer
Current Account No 000500057120
Unicredit Corporate Banking
ABI 02008 - CAB 09432
IBAN IT04Q 02008 09 432 000 500 057 120
CIN Q
SWIFT BIC code: UNCRITMMOMI (for foreign transfers)
The reason for the payment to be reported is: "Clinical Documentation Request" followed by the full name of the patient to which it relates. The amount payable may be determined by referring to the table reported in the “instructions and costs” section below.
It is necessary to fill out one of the following application forms.
To the request form have to be attached:
- A copy of a valid identity document of the applicant
- A copy of the postal order (or the details of the bank transfer) proving the payment.
- A copy of the proxy/power of attorney/notary act
If you wish for the medical records to be sent to your home address, you should complete the request form, indicating the shipping address and adding € 18.00 to the total amount paid, as contribution to the shipment costs.
You need to send the form and the accompanying documentation to IEO in one of the following ways:
European Institute of Oncology
Via Giuseppe Ripamonti, 435
20141 Milano - ITALY
Att.ne Service Acceptance - Back Office
Alternatively, clinical documentation can be collected directly at the doors of Building 2 of the European Institute of Oncology, Floor 0, from 9:00 to 15:00 from Monday to Friday.
Collection of clinical documentation can be made:
- the proxy form completed and signed by the holder of the clinical documentation
- a valid identity document of the person delegated
- the original or a photocopy of a valid identity document of the delegator.
Find below a summary of the procedure to follow:
Request for Clinical Documentation
UN PICCOLO GESTO E' PER NOI UN GRANDE AIUTO