MAILING 1

Registration

Dear Patient,

Here you will find step-by-step instructions on how to secure your tumor sample and arrange for its transport to the IOZK.

This is about you. You are the key player in our joint effort. You decide on your treatment and how your tumor tissue will be used! Stay in control so that everything goes smoothly.

Please follow these steps:

1. Fill out the registration form

2. Transfer the advance payment

3. Fill out the consent form

4. Report the results of the blood test

5. Submit the registration form and consent form

1. Fill out the registration form

Please fill out the form and sign it.

Download and fill out

Registration Form - German

Enrollment Form - English

2. Transfer of the advance payment

You have contacted us with a request to process tumor tissue for the production of an anti-tumor vaccine (IO-VAC® vaccine). We appreciate your trust and are happy to carry out the necessary procedures.

The IOZK incurs immediate costs for transportation, regulatory approvals, and laboratory procedures.

Therefore, we can only guarantee processing if you transfer €5,000 to our account in advance via Sofortanweisung.

Important: Please remember to include the patient's last name, first name, and date of birth with the bank transfer so that we can match the payment to the correct patient.

Transfer Money

Bank Information:
Volksbank Koeln Bonn
Account Holder: IOZK
IBAN: DE49 3806 0186 5076 8050 18
BIC Code/SWIFT: GENODED1BRS

Payment Reference:
Patient's First Name, Last Name

3. Fill out the consent form

Please sign the statement in which you give your consent for your tumor tissue to be collected and stored, and acknowledge that this will incur costs for you.

Download and fill out

Declaration of Consent - German

Consent Form - English

4. Report the results of the blood test

To comply with infection control measures, we require a blood test for existing infections before we can process the tumor tissue. This test must not be more than 6 months old.
If you have already had blood drawn at the IOZK, we have already performed these tests, and you do not need to take any further action.

HIV Screening Test Anti- HBc HBsAg Anti-HCV