Patient Form | myTomorrows

I am a patient or family member looking for treatment options.

Can we help you with something else? Please contact us.

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I would like *

To find treatment options

To obtain practical support in gaining access to a specific treatment

Please select the appropriate option above

Finding treatment options can be a complicated and time-consuming affair. myTomorrows is here to help. If there are suitable treatments in development for your condition anywhere in the world, we can find them for you. Using smart technology, our medical team provides a comprehensive overview of the treatments that may be available to you.

Here's how it works.

Intake interview

A member of our medical team will call you. They will get to know you and learn all about your situation.

Treatment Search report

You will receive an extensive overview of the Clinical Trials and Expanded Access Programs that might be available to you. You can discuss the findings with your doctor.

Access to treatment

Together with your doctor, you can select the treatment that best suits your situation. We will then help your doctor gain access to this treatment.

Our services are free of charge for both patients and doctors.

Please fill out the form below to arrange an intake call for a time and date that suits you best.

I would like to discuss treatment options for *

Myself

A family member

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My doctor has already issued an official diagnosis *

Yes

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First name *

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Last name *

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Email *

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Country of residence *

Choose country *

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Telephone number *

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Additional information (optional)

500 left

I understand that the data shown above is personal and/or medical data of myself and/or of the person of whom I am the legal representative. I hereby consent to the processing of my/his/her personal and/or medical data by myTomorrows for the purpose of reaching out to me with respect to my request. I agree that myTomorrows’ privacy and cookie policy is applicable to the processing of my personal data.