Salud Integral Treatment procedures

Treatment Overview and Guidelines

Patients requesting assessment and evaluation of their disease state by the medical staff of Salud Integral S.A. will be required to provide the completed information and consents found in the next section Required Patient Forms.

Dosing Instructions of Administration will be provided upon approval.

Participation in Continuing Research

If the patient is accepted for a course of Anvirzel™ therapy; he/she must agree to continue to provide Salud Integral S.A. with current medical records for their use and information as long as he/she continues on Anvirzel™ therapy. Acceptance into a prescribed Anvirzel™ therapy regimen by the medical staff of Salud Integral S.A. and the commencement of that regimen by the patient constitutes an acceptance of this condition.

Provide Medical Records

In order for our medical staff to be able to accurately determine acceptability and proper dosage, patients will be required to submit their medical records to the offices of Salud Integral for review by our medical staff prior to being accepted for Anvirzel™ therapy.

Patients need to provide the completed Medical Overview Form and copies of their medical records that include physician report summaries of their current status and prognosis, medical history, evolution of disease and laboratory test results (Blood Work results and interpretations of Biopsy/Pathology, CAT Scans, MRI, PET etc.).

MEDICAL OVERVIEW

MEDICAL RECORDS

Provide Patient Information

Patient must provide address and contact information, physician information, and Quality of Life questionnaire.

PATIENT/PHYSICIAN INFO

QUALITY OF LIFE QUESTIONNAIRE

Personal Use Guidelines requirements

Provide Patient Consent

Patient must provide signed consent for: Release of Medical Records; Acknowledgment for Use of Records; Condition of Participation, and Consent to Assume Risk.

pdfCLICK HERE FOR CONSENT FORM

Personal Use Guidelines

  • Products may be acquired for personal use only. (Not for commercial resale)
  • Treatment is not currently available to the patient in their country.
  • Patient has made a physician aware they are taking additional medical treatment.
  • Patient has been instructed in the administration of treatment.

Patients may acquire Anvirzel™ therapy from Honduras under the personal use guidelines.

The patient must provide a completed Affirmation of Personal Use Form signed by the patient or patient representative.

Salud Integral is currently treating patients from various countries (i.e., Korea, England, Ireland, Germany, Turkey, Canada, Mexico, USA; and others).

pdfCLICK HERE FOR PATIENT AFFIRMATION FORM