University Hospital Cologne
ECMM Myco-Board
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Step 1 / 5

Myco-Board Request Form

University Hospital Cologne - ECMM European Excellence Center for Invasive Fungal Infections

1 Request
2 Patient
3 Diagnostics
4 Treatment
5 Review

Request

Please provide information about the requesting hospital and physician.

We will send a confirmation link to this address. You need to open it before you can submit the case.

Consultation

Urgent consultation?
Has this patient been discussed previously?
Required assessments
Do you require a microbiological assessment?
Do you require a histopathological assessment?
Do you require radiological case presentation?

If you answer "Yes", you will be able to upload imaging files for each entry on the Diagnostics page (step 3 of 5).

Do you require a surgical assessment?