For urgent inquiries, please contact the pediatric oncology background service via the Children's Hospital gate at 0511-532 3220.

For all other inquiries regarding the co-evaluation of patients, please always fax the following questionnaire to 0511-532 18525.

Please note that fully completed questionnaires and the submission of findings and physicians' letters will make it easier for us to process and assess patients. Please read the MHH privacy policy carefully. At the end of the questionnaire, you agree to the processing of your personal data by the provider of this form by clicking on the checkbox (mandatory field).

You can find the privacy policy here.

Download sender questionnaire (pdf)