Submit your case

Start with a concise summary. Do not upload passport copies, complete scans or highly sensitive documents through this public form.

International patient coordinator in China

Before you begin

Enough information to assess the next step.

This form is for administrative screening, not diagnosis. If a credible pathway may exist, we will explain how to share detailed medical records more securely.

Typical response priorityWe prioritize complete enquiries with a confirmed diagnosis and recent objective test results.

Email: hello@accesschinamed.com

About you

Basic contact and location information.

Full name *

Email *

WhatsApp / phone

Country of residence *

Age

Preferred contact

Your medical question

Tell us what you are trying to understand.

Reason for enquiry *

Diagnosis or main concern *

Current treatment and key recent tests *

Your main goal

Timing and consent

Final details before submission.

Possible travel timing

Do not include passport numbers, payment-card details or complete medical-image archives in this form. We will request detailed records separately when appropriate.

I consent to RMC using this information to respond to my enquiry and, only after further discussion, coordinate review with relevant medical institutions. I understand that submission does not guarantee treatment eligibility. *