Refer a Case

Partner with us to provide precision care to every child.

Submit a patient for expert review and guidance from our precision oncology team.

Quick Referral Form

Please provide patient details and upload relevant documents.

Patient Name *

Age *

Gender *

Diagnosis *

Referring Doctor *

Hospital / Institution *

Upload Documents *

Upload Reports

PDF, JPG, PNG (Max 5MB each)

Choose Files

Upload Imaging

PDF, JPG, PNG (Max 5MB each)

Choose Files

Upload Molecular Reports

PDF, JPG, PNG (Max 5MB each)

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Urgency *

Additional Notes (Optional)

For urgent cases, contact us immediately.

+91-9967121807

precision@pick4kids.org

24×7 Helpline

+91-9967121807

Secure & Confidential

All patient information is encrypted and kept confidential.

Expert Review

Our team reviews every case within 24-48 hours.

Compassionate Care

Every referral helps us bring hope to a child and family.