Where research becomes treatment in real time
Copy of the documentation
At IEO, certified copies of the following medical records may be requested:
-
Medical Records
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
-
Reporting Paper
Related to outpatient services
- Diagnostic test (Mammography, Ultrasound, etc.)
- Histology, cytology
- Laboratory tests and HPV Test
- Specialist visit
-
Diagnostic Images
- Mammography
- Ultrasound
- TAC
- Magnetic Resonance (MR)
- Radiography (X-rays)
- PET
- Scintigraphy
In accordance with current regulations the following subjects may request clinical documentation.
- Holder of the documentation, adult or emancipated
- Parent of child with parental authority (equipped with state of the family)
- Subject operating protection, receivership or administration of support (provided with proving documentation)
- Heir (equipped with a notary act or certificate replacing the notary act, issued by the municipality).
-
Payment
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.
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Forms
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.
-
SHIPMENT OR WITHDRAWAL
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:
- 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
- by email at bo.accettazione@ieo.it
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.
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