Prospective Patient Questionnaire

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Once you click the submit button below, you will see an automated response with details about our onboarding process and full instructions.

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Welcome to the Burzynski Clinic – Important Information for Your Journey.

Dear Prospective Patient,

 Thank you for considering the Burzynski Clinic for your cancer treatment. We are dedicated to assisting you every step of the way. Below are important documents tailored to your current stage in the onboarding process:

**Onboarding Process:**

1. **Download and fill out our Medical Admissions Forms PDF:** To get started, please complete and return these forms **as soon as possible**. This will allow us to obtain the necessary medical releases and distribute them to the appropriate specialists, ensuring a smooth and timely appointment at our clinic.

2. **Welcome Packet PDF (Upon Eligibility):** Once you are deemed eligible, please refer to this packet, which includes essential information about our clinic, statistics, and details about our Personalized Gene Targeted Therapy program.

3. **Travel & Accommodations PDF (Upon Travel):** When you’re ready to travel, this document will provide a list of nearby hotels, car rentals, and other local Houston businesses to assist you during your stay.

If you have any questions or need further assistance, please don't hesitate to reach out.

Best regards,

Admissions Specialist
BURZYNSKI CLINIC

CLINIC HOURS: Working hours: 9 am – 5 pm Monday - Thursday.

Closed on Fridays, Saturdays and Sundays.

“Tomorrow’s Cancer Treatment Today!”
9432 Katy Freeway, Houston, Texas 77055
Direct: 713-335-5650 | Fax: 713-335-5651
Website: www.burzynskiclinic.com

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