Additional Information July 28, 2019/in Cancer Information /by Eric Hebert Please provide us with the following information so we can better assist you: Name of Patient using the Cold Cap System Shipping Address in different than Billing Address: Date of Birth of the Patient Diagnosis Chemo Drug Regimen Prescribed Number of Treatments When is the Chemo start date? Have they received treatment yet and if yes when? Name of Oncologist Name of Hospital or Treatment Center Type the characters (required) This field should be left blank Send Please wait...
