Berkeley Institute International - Enrollment Criteria
HOW TO ENROLL

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How to Enroll

To inquire if you qualify for our therapy, please send us an e-mail with the following information to

medical@cancer-institute.com
(Please always include your phone number for expedited communication!)

If you do not get a reply within 48 hours, please report your lack of response to Berkeley (510) 250 5990.  This number cannot give you any medical information but someone will telephone you if you leave your number.


  1. Your first, middle and last name, and your e-mail address.
  2. Your postal mail address including City, State, Country and Zip Code.
  3. Your occupation.
  4. Your phone number.
  5. Your date of birth and gender.
  6. What kind of cancer are you diagnosed with, and when was it discovered?
  7. Please briefly describe your first treatment; did the cancer recur; and your current condition.
  8. What were the results of your last CT scan?
  9. Please list your complete current medications.
  10. On a scale 1-10, what is your current level of activity (10=very active).
  11. If you had to travel, would you have someone to accompany you?
  12. Have any children under the age 18?
  13. Please briefly further describe yourself and your situation.
  14. How did you hear about us?

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1/24/14


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