Prof. Dr. Uğur Türe - Examination Submission Portal

Examination Submission Form

Please fill in all required fields.

1) Patient Information Enter the patient's personal information.

Application Type? *

I'm Sending a Report / Image for the First Time

I'm Your Follow-up Patient

Name surname : *

Date of birth : *

Gender : *

Country: *

E-mail : *

E-mail 2:

Phone : *

Phone 2:

2) Tetkik Dosyaları Lütfen tetkik dosyalarını yükleyiniz.

Upload Exam (MR-BT-ANJIO) * Please select .zip containing MR-BT-ANJIO.

Upload Examination Report (MRI, epicrisis and/or pathology) Please select your MRI, Epicrisis and/or Pathology reports.

3) Medical History Please enter any treatments you have received in the past, if any.

Have you had any surgery? *

Yes No

Have you received chemotherapy? *

Yes No

Have you received radiotherapy? *

Yes No

Write down the medications you use, if any

4) Complaints / Notes Please submit your complaints and notes to the doctor.

What is your complaint? *

What you want to consult a doctor about. *