Medical records related to hospitalization

• Simple copy
• Copy authenticated by the signature of the Chief Medical Officer on each page

Medical records related to outpatient services

• Outpatient surgery
• Outpatient chemotherapy
• Outpatient radiation treatment

Related to outpatient services

• Diagnostic test (Mammography, Ultrasound, etc.)
• Histology, cytology
• Laboratory tests and HPV Test
• Specialist visit

• Mammography
• Ultrasound
• TAC
• Magnetic Resonance (MR)
• Radiography (X-rays)
• PET
• Scintigraphy

        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.

• Request for Clinical Documentation by the Holder, when the applicant is the holder of the clinical documentation required.

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.

• Request for Clinical Documentation by third parties, if the applicant is a parent, a party operating protection, receivership or administration of support, or an heir equipped with a notary act or certificate replacing the notary act, issued by the municipality.

To the request form have to be attached:

- A copy of a valid identity document of the applicant

- A copy of the proxy/power of attorney/notary act

- A copy of the postal order (or the details of the bank transfer) proving the payment.

You need to send the form and the accompanying documentation to IEO in one of the following ways:

• by Fax: +39 02 9437 9291
• By mail to the following address:

        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:

• by the holder, presenting a valid identity document
• by any other person, including the spouse, presenting:

- 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.