Consultation Requests Form

BTN Consultation Request

Have you been diagnosed with a brain tumor?  If your life has been changed by a brain tumor diagnosis and you'd like to request a consultation, The Brain Tumor Network is ready to help adults diagnosed with primary brain tumors who live in the United States.

BTN can make your search for reliable, personalized treatment options easier and more thorough.  Learn more about the services BTN can provide.

BTN’s services are free for patients and care providers, and the information you receive from BTN will be personalized to tumor type, medical history and personal needs. Please submit Consultation Request below.  You should expect to hear back from BTN within 1 business day of your request.

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Tumor Information
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BTN is only able to assist patients in the United States. Once submitted, your form will be reviewed by a BTN team member who will contact you via the method indicated on the form. Expect to hear back from BTN within one and one-half business days of your request.
The information included in your consultation request form will be safeguarded and will only be used by Brain Tumor Network team members as needed to provide the services you request.