Prof. Dr. Türker KILIÇ - Brain, Pituitary & Gamma Knife Surgery - Medical Records Form

Medical Records Submission

Test submission form

You can send your MRI, CT and laboratory tests using the form below.

Step 1 / 2

A 2-step application

First you share your details; then a few short follow-up questions tailored to your case appear and your application is submitted.

First Name

Last Name

Year of Birth

Phone

Symptoms & Situation Summary

Have you had any surgery?

Have you received chemotherapy?

Have you received radiotherapy?

Please list any medications you are taking

Upload the .zip or .rar archive you extracted from the DICOM CD. Image files are expected, not a written report.

.zip or .rar only — at least 10 MB

Drag files here

or click to choose

ZIPRAR≥ 10 MB