The Consent Form
The Consent Form opens your case with Ablement. It takes about fifteen minutes, and it commits you to nothing: not to travel, not to treatment. You can withdraw at any time, at no cost. The form lives in a secure tool hosted in the European Union, not on this website. Your answers are encrypted, and only our patient coordinators can open them.
Before you start
The usual order is a conversation first, then the form; after the conversation we e-mail you the link. You can also open the form straight away. The form is in English. Only you, the patient, can complete and sign it. A family member can help you, but cannot sign for you.

What the form asks
The form has seven short parts.
Who you are: your name, date of birth, home address, the country you live in, your telephone number and e-mail address.
Your treatment: the operation you need, the waiting list you are on and how long you have waited, and whether you have seen a specialist in the public system.
Your entitlement: a declaration that you live in your country and are entitled to public healthcare there. Your country's public health service decides your entitlement, not Ablement.
Four practical questions: whether you can pay the hospital first and wait for the refund, whether you would like information about financing, whether your doctor has said you are fit to fly, and whether an adult can travel with you and stay with you after the treatment.
Your family doctor: their name, and your referral letter if you already have it. The letter is not a condition of opening your case.
A family member who may help you, if you wish: they can talk and write to us about your case, receive our e-mails and the treatment proposal, upload documents and join meetings. They can never sign anything for you, and you can withdraw their permission at any time.
Your consents and your authority to us, each as a separate tick: that you understand the basics, that we may hold and use information about your health, and that we may act for you with hospitals and your country's public health service. We may not accept an offer, pay anything, consent to treatment or sign a claim for you. Then your electronic signature.
What the form does not ask
No medical records, letters or scans. We ask for those only once your case is open, through a secure link we send you. Never by e-mail or chat.
How we are paid
Our service is free to you. The hospital that treats you pays us a referral fee; the form says so. No money of yours ever passes through us. Ablement is not part of any public health service, is not a hospital and gives no medical advice.
What happens next
You receive a confirmation with your case number the same working day. Within one to two working days we tell you whether you are eligible and whether we can help in your country. If we cannot help, we say so and delete what you gave us. If we can, we tell you which documents we need and send you the secure link.
You are still committed to nothing. You receive one written proposal, with one hospital, a fixed price and the expected refund, and you decide then.
Ready to open your case? The form takes about fifteen minutes.
Open the Consent Form (secure tool)