Patient Groups

Introduction

At clinXcess, we are committed to getting the right medicine to the right patient at the right time. It is therefore natural that part of our work focuses on engagement with patient advocacy groups, listening to their needs, learning from them, and engaging to educate and empower on the topic of access to medicines, specifically those that are hard to obtain, but which address an unmet medical need.

This can be an area that is not given much focus, or has low awareness amongst the many priorities of a busy advocacy organization, but nonetheless it is an important part of the armory required to face the access challenges that exist in today’s healthcare systems.

How we can help

Every year, thousands of patients and care givers across the globe face the dire situation of discovering that the medicine they need is unavailable to them. It could be that it is still in development, a discontinued line, or simply unavailable in the area they reside in.

In these difficult times, patient advocacy groups can play a critical role as a trusted resource for their patients, providing timely and accurate information about the process for accessing unlicensed medicines, and explaining the roles of all the different stakeholders involved.

If you are a patient group representative and would like to understand more about ethical, compliant routes that a physician can utilize to access an unlicensed medicine on behalf of his/her patient, and explore what your role in that might be, please get in touch with us on info@clinxcess.org. We would love to hear from you!

Patient Registration Portal

Patient Form - Filled By Patient

This Form To Be Filled By The Patient Only

Patient Details

First Name *
Last Name *
Address *
Street Address
PPP. Suit. Building
Postal Code
Gender *
Age *
CNIC # *
Upload CNIC Front *
Upoload CNIC Back
Phone *
E-Mail *

Patient's Medical Details

Disease *
Hospital Name *
Doctor Name *
PMDC# *
Upload Prescription Files
Date *

Attendant Information

First Name
Last Name
Address
Street Address
PPP. Suit. Building
Postal Code
Gender
Age
CNIC #
Upload CNIC Front
Upload CNIC Back
Phone
Email

Declaration

Check If You Are Sure? *
I hereby declare that all my details given in the form are correct and I have given authority to clinxcess to proceed my case.

Declaration:

Check Box *I hereby declare that all my details given in the form are correct and I have given authority to clinxcess to proceed my case.
This box is for spam protection - please leave it blank:

Patient Form - Filled By Attendant

This Form To Be Filled By The Attendant Only

Patient Details

First Name *
Last Name *
Address *
Street Address
PPP. Suit. Building
Postal Code
Gender *
Age *
CNIC # *
Upload CNIC Front *
Upoload CNIC Back
Phone *
E-Mail *

Patient's Medical Details

Disease *
Hospital Name *
Doctor Name *
PMDC# *
Upload Prescription Files
Date *

Attendant Information

First Name *
Last Name *
Address *
Street Address
PPP. Suit. Building
Postal Code
Gender *
Age *
CNIC # *
Upload CNIC Front *
Upload CNIC Back *
Phone *
Email *

Declaration

Check If You Are Sure? *
I hereby declare that all my details given in the form are correct and I have given authority to clinxcess to proceed my case.

Declaration:

Check Box *I hereby declare that all my details given in the form are correct and I have given authority to clinxcess to proceed my case.
This box is for spam protection - please leave it blank:

Patient Groups

Introduction

How we can help

Patient Registration Portal

This Form To Be Filled By The Patient Only

Patient Details

Patient's Medical Details

Attendant Information

Declaration

Declaration:

ClinXcess