Patients Contact

Thank You for your interest in Rational Therapeutics™. We are happy to answer any questions you may have.

You can email us at Client.Services@rationaltherapeutics.com, or use the form below to provide the needed information for us to determine candidacy for an EVA-PCD™ chemosensitivity analysis.

If you would like to request a specimen transportation kit or to discuss your case specifically, please contact our Patient Relations Department at 562-989-6455, x104

Contact Information - * Fields Required
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*Address :
*City :
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*Zip :
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*Home Phone :
Work Phone :
Fax :
*Email Address :
*Relation to patient :	Please choose one I am the patient Spouse Son/Daughter Parent Oncologist Surgeon Other
*How did you learn about us ?	Please choose one Book Friend Search Engine Internet Newsgroup Link from other website Magazine Moss Report Newspaper Oncologist People vs. Cancer Radio Support Group Surgeon Television Other
Tell us about the cancer
*What is the diagnosis ?	Please choose one Bladder Breast Cervical Colon Lung Melanoma Mesothelioma Ovarian Pancreatic Prostate Renal Sarcoma Squamous Unknown Primary Other
*Is there a site to collect a fresh tumor sample?		YesNo
*Is the patient considering chemotherapy as part of his/her treatment plan?		YesNo
*Can we collect the specimen when the patient is chemotherapy free for 3-4 weeks?		YesNo
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