immunotherapyinstitute.com Open in urlscan Pro
2606:4700:3032::6815:2d88  Public Scan

Submitted URL: http://immunotherapyinstitute.com/
Effective URL: https://immunotherapyinstitute.com/
Submission: On January 01 via api from US — Scanned from DE

Form analysis 4 forms found in the DOM

GET https://immunotherapyinstitute.com/

<form role="search" action="https://immunotherapyinstitute.com/" method="GET">
  <input type="text" name="s" value="" aria-label="Search" placeholder="Search">
  <span>Hit enter to search or ESC to close</span>
</form>

POST /#gf_1

<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_1" id="gform_1" class="itc-lead-form itc-lead-form--content" action="/#gf_1" data-formid="1" novalidate="">
  <input type="hidden" class="gforms-pum" value="{&quot;closepopup&quot;:false,&quot;closedelay&quot;:0,&quot;openpopup&quot;:false,&quot;openpopup_id&quot;:0}">
  <div class="gform-body gform_body">
    <ul id="gform_fields_1" class="gform_fields top_label form_sublabel_below description_below">
      <li id="field_1_7" class="gfield gfield--type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_7"><label
          class="gfield_label gform-field-label" for="input_1_7">Your First Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_text"><input name="input_7" id="input_1_7" type="text" value="" class="large" aria-required="true" aria-invalid="false"> </div>
      </li>
      <li id="field_1_11" class="gfield gfield--type-text gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_11"><label
          class="gfield_label gform-field-label" for="input_1_11">Your Last Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_text"><input name="input_11" id="input_1_11" type="text" value="" class="large" aria-required="true" aria-invalid="false"> </div>
      </li>
      <li id="field_1_6" class="gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_6"><label
          class="gfield_label gform-field-label" for="input_1_6">Relationship to Patient<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select">
          <div class="fancy-select-wrap"><select name="input_6" id="input_1_6" class="large gfield_select select2-hidden-accessible" aria-required="true" aria-invalid="false" tabindex="-1" aria-hidden="true">
              <option value="" selected="selected" class="gf_placeholder">Choose One:</option>
              <option value="Myself" selected="selected">Myself</option>
              <option value="Spouse">Spouse</option>
              <option value="Family Member">Family Member</option>
              <option value="Friend">Friend</option>
              <option value="Other">Other</option>
            </select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox" aria-haspopup="true"
                  aria-expanded="false" tabindex="0" aria-labelledby="select2-input_1_6-container"><span class="select2-selection__rendered" id="select2-input_1_6-container" title="Myself">Myself</span><span class="select2-selection__arrow"
                    role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span></div>
        </div>
      </li>
      <li id="field_1_12" class="gfield gfield--type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_12" data-conditional-logic="hidden"
        style="display: none;"><label class="gfield_label gform-field-label" for="input_1_12">Patient First Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_text"><input name="input_12" id="input_1_12" type="text" value="" class="large" aria-required="true" aria-invalid="false" disabled="disabled"> </div>
      </li>
      <li id="field_1_13" class="gfield gfield--type-text gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_13"
        data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_1_13">Patient Last Name<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_text"><input name="input_13" id="input_1_13" type="text" value="" class="large" aria-required="true" aria-invalid="false" disabled="disabled"> </div>
      </li>
      <li id="field_1_2" class="gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_2"><label class="gfield_label gform-field-label"
          for="input_1_2">Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_email">
          <input name="input_2" id="input_1_2" type="email" value="" class="large" aria-required="true" aria-invalid="false">
        </div>
      </li>
      <li id="field_1_9" class="gfield gfield--type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_9"><label
          class="gfield_label gform-field-label" for="input_1_9">Phone<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_text"><input name="input_9" id="input_1_9" type="text" value="" class="large" aria-required="true" aria-invalid="false"> </div>
      </li>
      <li id="field_1_18" class="gfield gfield--type-text gf_right_half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_18"><label class="gfield_label gform-field-label"
          for="input_1_18">Cell Phone</label>
        <div class="ginput_container ginput_container_text"><input name="input_18" id="input_1_18" type="text" value="" class="medium" aria-invalid="false"> </div>
      </li>
      <li id="field_1_10" class="gfield gfield--type-select gf_left_half sel-country gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_10"><label
          class="gfield_label gform-field-label" for="input_1_10">Country<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select">
          <div class="fancy-select-wrap"><select name="input_10" id="input_1_10" class="medium gfield_select select2-hidden-accessible" aria-required="true" aria-invalid="false" tabindex="-1" aria-hidden="true" style="display: none;">
              <option value="" selected="selected" class="gf_placeholder">Choose One:</option>
              <option value="United States">United States</option>
              <option value="Canada">Canada</option>
              <option value="Afghanistan">Afghanistan</option>
              <option value="Albania">Albania</option>
              <option value="Algeria">Algeria</option>
              <option value="American Samoa">American Samoa</option>
              <option value="Andorra">Andorra</option>
              <option value="Angola">Angola</option>
              <option value="Antigua and Barbuda">Antigua and Barbuda</option>
              <option value="Argentina">Argentina</option>
              <option value="Armenia">Armenia</option>
              <option value="Australia">Australia</option>
              <option value="Austria">Austria</option>
              <option value="Azerbaijan">Azerbaijan</option>
              <option value="Bahamas">Bahamas</option>
              <option value="Bahrain">Bahrain</option>
              <option value="Bangladesh">Bangladesh</option>
              <option value="Barbados">Barbados</option>
              <option value="Belarus">Belarus</option>
              <option value="Belgium">Belgium</option>
              <option value="Belize">Belize</option>
              <option value="Benin">Benin</option>
              <option value="Bermuda">Bermuda</option>
              <option value="Bhutan">Bhutan</option>
              <option value="Bolivia">Bolivia</option>
              <option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
              <option value="Botswana">Botswana</option>
              <option value="Brazil">Brazil</option>
              <option value="Brunei">Brunei</option>
              <option value="Bulgaria">Bulgaria</option>
              <option value="Burkina Faso">Burkina Faso</option>
              <option value="Burundi">Burundi</option>
              <option value="Cambodia">Cambodia</option>
              <option value="Cameroon">Cameroon</option>
              <option value="Canada">Canada</option>
              <option value="Cape Verde">Cape Verde</option>
              <option value="Cayman Islands">Cayman Islands</option>
              <option value="Central African Republic">Central African Republic</option>
              <option value="Chad">Chad</option>
              <option value="Chile">Chile</option>
              <option value="China">China</option>
              <option value="Colombia">Colombia</option>
              <option value="Comoros">Comoros</option>
              <option value="Congo, Democratic Republic of the">Congo, Democratic Republic of the</option>
              <option value="Congo, Republic of the">Congo, Republic of the</option>
              <option value="Costa Rica">Costa Rica</option>
              <option value="Côte d'Ivoire">Côte d'Ivoire</option>
              <option value="Croatia">Croatia</option>
              <option value="Cuba">Cuba</option>
              <option value="Cyprus">Cyprus</option>
              <option value="Czech Republic">Czech Republic</option>
              <option value="Denmark">Denmark</option>
              <option value="Djibouti">Djibouti</option>
              <option value="Dominica">Dominica</option>
              <option value="Dominican Republic">Dominican Republic</option>
              <option value="East Timor">East Timor</option>
              <option value="Ecuador">Ecuador</option>
              <option value="Egypt">Egypt</option>
              <option value="El Salvador">El Salvador</option>
              <option value="Equatorial Guinea">Equatorial Guinea</option>
              <option value="Eritrea">Eritrea</option>
              <option value="Estonia">Estonia</option>
              <option value="Ethiopia">Ethiopia</option>
              <option value="Faroe Islands">Faroe Islands</option>
              <option value="Fiji">Fiji</option>
              <option value="Finland">Finland</option>
              <option value="France">France</option>
              <option value="French Polynesia">French Polynesia</option>
              <option value="Gabon">Gabon</option>
              <option value="Gambia">Gambia</option>
              <option value="Georgia">Georgia</option>
              <option value="Germany">Germany</option>
              <option value="Ghana">Ghana</option>
              <option value="Greece">Greece</option>
              <option value="Greenland">Greenland</option>
              <option value="Grenada">Grenada</option>
              <option value="Guam">Guam</option>
              <option value="Guatemala">Guatemala</option>
              <option value="Guinea">Guinea</option>
              <option value="Guinea-Bissau">Guinea-Bissau</option>
              <option value="Guyana">Guyana</option>
              <option value="Haiti">Haiti</option>
              <option value="Honduras">Honduras</option>
              <option value="Hong Kong">Hong Kong</option>
              <option value="Hungary">Hungary</option>
              <option value="Iceland">Iceland</option>
              <option value="India">India</option>
              <option value="Indonesia">Indonesia</option>
              <option value="Iran">Iran</option>
              <option value="Iraq">Iraq</option>
              <option value="Ireland">Ireland</option>
              <option value="Israel">Israel</option>
              <option value="Italy">Italy</option>
              <option value="Jamaica">Jamaica</option>
              <option value="Japan">Japan</option>
              <option value="Jordan">Jordan</option>
              <option value="Kazakhstan">Kazakhstan</option>
              <option value="Kenya">Kenya</option>
              <option value="Kiribati">Kiribati</option>
              <option value="North Korea">North Korea</option>
              <option value="South Korea">South Korea</option>
              <option value="Kosovo">Kosovo</option>
              <option value="Kuwait">Kuwait</option>
              <option value="Kyrgyzstan">Kyrgyzstan</option>
              <option value="Laos">Laos</option>
              <option value="Latvia">Latvia</option>
              <option value="Lebanon">Lebanon</option>
              <option value="Lesotho">Lesotho</option>
              <option value="Liberia">Liberia</option>
              <option value="Libya">Libya</option>
              <option value="Liechtenstein">Liechtenstein</option>
              <option value="Lithuania">Lithuania</option>
              <option value="Luxembourg">Luxembourg</option>
              <option value="Macedonia">Macedonia</option>
              <option value="Madagascar">Madagascar</option>
              <option value="Malawi">Malawi</option>
              <option value="Malaysia">Malaysia</option>
              <option value="Maldives">Maldives</option>
              <option value="Mali">Mali</option>
              <option value="Malta">Malta</option>
              <option value="Marshall Islands">Marshall Islands</option>
              <option value="Mauritania">Mauritania</option>
              <option value="Mauritius">Mauritius</option>
              <option value="Mexico">Mexico</option>
              <option value="Micronesia">Micronesia</option>
              <option value="Moldova">Moldova</option>
              <option value="Monaco">Monaco</option>
              <option value="Mongolia">Mongolia</option>
              <option value="Montenegro">Montenegro</option>
              <option value="Morocco">Morocco</option>
              <option value="Mozambique">Mozambique</option>
              <option value="Myanmar">Myanmar</option>
              <option value="Namibia">Namibia</option>
              <option value="Nauru">Nauru</option>
              <option value="Nepal">Nepal</option>
              <option value="Netherlands">Netherlands</option>
              <option value="New Zealand">New Zealand</option>
              <option value="Nicaragua">Nicaragua</option>
              <option value="Niger">Niger</option>
              <option value="Nigeria">Nigeria</option>
              <option value="Northern Mariana Islands">Northern Mariana Islands</option>
              <option value="Norway">Norway</option>
              <option value="Oman">Oman</option>
              <option value="Pakistan">Pakistan</option>
              <option value="Palau">Palau</option>
              <option value="Palestine, State of">Palestine, State of</option>
              <option value="Panama">Panama</option>
              <option value="Papua New Guinea">Papua New Guinea</option>
              <option value="Paraguay">Paraguay</option>
              <option value="Peru">Peru</option>
              <option value="Philippines">Philippines</option>
              <option value="Poland">Poland</option>
              <option value="Portugal">Portugal</option>
              <option value="Puerto Rico">Puerto Rico</option>
              <option value="Qatar">Qatar</option>
              <option value="Romania">Romania</option>
              <option value="Russia">Russia</option>
              <option value="Rwanda">Rwanda</option>
              <option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
              <option value="Saint Lucia">Saint Lucia</option>
              <option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
              <option value="Samoa">Samoa</option>
              <option value="San Marino">San Marino</option>
              <option value="Sao Tome and Principe">Sao Tome and Principe</option>
              <option value="Saudi Arabia">Saudi Arabia</option>
              <option value="Senegal">Senegal</option>
              <option value="Serbia">Serbia</option>
              <option value="Seychelles">Seychelles</option>
              <option value="Sierra Leone">Sierra Leone</option>
              <option value="Singapore">Singapore</option>
              <option value="Sint Maarten">Sint Maarten</option>
              <option value="Slovakia">Slovakia</option>
              <option value="Slovenia">Slovenia</option>
              <option value="Solomon Islands">Solomon Islands</option>
              <option value="Somalia">Somalia</option>
              <option value="South Africa">South Africa</option>
              <option value="Spain">Spain</option>
              <option value="Sri Lanka">Sri Lanka</option>
              <option value="Sudan">Sudan</option>
              <option value="Sudan, South">Sudan, South</option>
              <option value="Suriname">Suriname</option>
              <option value="Swaziland">Swaziland</option>
              <option value="Sweden">Sweden</option>
              <option value="Switzerland">Switzerland</option>
              <option value="Syria">Syria</option>
              <option value="Taiwan">Taiwan</option>
              <option value="Tajikistan">Tajikistan</option>
              <option value="Tanzania">Tanzania</option>
              <option value="Thailand">Thailand</option>
              <option value="Togo">Togo</option>
              <option value="Tonga">Tonga</option>
              <option value="Trinidad and Tobago">Trinidad and Tobago</option>
              <option value="Tunisia">Tunisia</option>
              <option value="Turkey">Turkey</option>
              <option value="Turkmenistan">Turkmenistan</option>
              <option value="Tuvalu">Tuvalu</option>
              <option value="Uganda">Uganda</option>
              <option value="Ukraine">Ukraine</option>
              <option value="United Arab Emirates">United Arab Emirates</option>
              <option value="United Kingdom">United Kingdom</option>
              <option value="United States">United States</option>
              <option value="Uruguay">Uruguay</option>
              <option value="Uzbekistan">Uzbekistan</option>
              <option value="Vanuatu">Vanuatu</option>
              <option value="Vatican City">Vatican City</option>
              <option value="Venezuela">Venezuela</option>
              <option value="Vietnam">Vietnam</option>
              <option value="Virgin Islands, British">Virgin Islands, British</option>
              <option value="Virgin Islands, U.S.">Virgin Islands, U.S.</option>
              <option value="Yemen">Yemen</option>
              <option value="Zambia">Zambia</option>
              <option value="Zimbabwe">Zimbabwe</option>
            </select>
            <div class="chosen-container chosen-container-single" title="" id="input_1_10_chosen" style="width: 1px;"><a class="chosen-single">
  <span>Choose One:</span>
  <div><b></b></div>
</a>
              <div class="chosen-drop">
                <div class="chosen-search">
                  <input class="chosen-search-input" type="text" autocomplete="off" tabindex="-1">
                </div>
                <ul class="chosen-results"></ul>
              </div>
            </div><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox" aria-haspopup="true"
                  aria-expanded="false" tabindex="0" aria-labelledby="select2-input_1_10-container"><span class="select2-selection__rendered" id="select2-input_1_10-container" title="Choose One:">Choose One:</span><span
                    class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
          </div>
        </div>
      </li>
      <li id="field_1_4" class="gfield gfield--type-select gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_4"><label
          class="gfield_label gform-field-label" for="input_1_4">Cancer/Disease Type<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select">
          <div class="fancy-select-wrap"><select name="input_4" id="input_1_4" class="large gfield_select select2-hidden-accessible" aria-required="true" aria-invalid="false" tabindex="-1" aria-hidden="true" style="display: none;">
              <option value="" selected="selected" class="gf_placeholder">Choose One:</option>
              <option value="Adenocarcinoma">Adenocarcinoma</option>
              <option value="Adrenal Cancer">Adrenal Cancer</option>
              <option value="Anal Cancer">Anal Cancer</option>
              <option value="Appendix Cancer">Appendix Cancer</option>
              <option value="Bile Duct Cancer">Bile Duct Cancer</option>
              <option value="Bladder Cancer">Bladder Cancer</option>
              <option value="Bone Cancer">Bone Cancer</option>
              <option value="Brain Cancer">Brain Cancer</option>
              <option value="Breast Cancer">Breast Cancer</option>
              <option value="Carcinoid Tumors">Carcinoid Tumors</option>
              <option value="Cervical Cancer">Cervical Cancer</option>
              <option value="Colorectal Cancer">Colorectal Cancer</option>
              <option value="Endometrial Cancer">Endometrial Cancer</option>
              <option value="Esophageal Cancer">Esophageal Cancer</option>
              <option value="Eye Cancer">Eye Cancer</option>
              <option value="Gallbladder Cancer">Gallbladder Cancer</option>
              <option value="Gastrointestinal Stromal Tumors">Gastrointestinal Stromal Tumors</option>
              <option value="Head &amp; Neck Cancer">Head &amp; Neck Cancer</option>
              <option value="Hodgkin Lymphoma">Hodgkin Lymphoma</option>
              <option value="Intestinal Cancer">Intestinal Cancer</option>
              <option value="Kidney Cancer">Kidney Cancer</option>
              <option value="Leukemia">Leukemia</option>
              <option value="Liver Cancer">Liver Cancer</option>
              <option value="Lung Cancer">Lung Cancer</option>
              <option value="Lymphoma">Lymphoma</option>
              <option value="Melanoma">Melanoma</option>
              <option value="Mesothelioma">Mesothelioma</option>
              <option value="Metastatic Squamous Neck Cancer">Metastatic Squamous Neck Cancer</option>
              <option value="Multiple Myeloma">Multiple Myeloma</option>
              <option value="Neuroblastoma">Neuroblastoma</option>
              <option value="Non-Hodgkin Lymphoma">Non-Hodgkin Lymphoma</option>
              <option value="Oral Cancer">Oral Cancer</option>
              <option value="Ovarian Cancer">Ovarian Cancer</option>
              <option value="Pancreatic Cancer">Pancreatic Cancer</option>
              <option value="Penile Cancer">Penile Cancer</option>
              <option value="Primary Central Nervous System (CNS) Lymphoma">Primary Central Nervous System (CNS) Lymphoma</option>
              <option value="Prostate Cancer">Prostate Cancer</option>
              <option value="Sarcoma">Sarcoma</option>
              <option value="Sinus Cancer">Sinus Cancer</option>
              <option value="Skin Cancer">Skin Cancer</option>
              <option value="Small Intestine Cancer">Small Intestine Cancer</option>
              <option value="Spinal Cancer">Spinal Cancer</option>
              <option value="Squamous Cell Carcinoma">Squamous Cell Carcinoma</option>
              <option value="Stomach Cancer">Stomach Cancer</option>
              <option value="Testicular Cancer">Testicular Cancer</option>
              <option value="Throat Cancer">Throat Cancer</option>
              <option value="Thymoma / Thymic Carcinoma">Thymoma / Thymic Carcinoma</option>
              <option value="Thyroid Cancer">Thyroid Cancer</option>
              <option value="Urethral Cancer">Urethral Cancer</option>
              <option value="Uterine Cancer">Uterine Cancer</option>
              <option value="Vaginal Cancer">Vaginal Cancer</option>
              <option value="Vulvar Cancer">Vulvar Cancer</option>
              <option value="Other">Other</option>
            </select>
            <div class="chosen-container chosen-container-single" title="" id="input_1_4_chosen" style="width: 1px;"><a class="chosen-single">
  <span>Choose One:</span>
  <div><b></b></div>
</a>
              <div class="chosen-drop">
                <div class="chosen-search">
                  <input class="chosen-search-input" type="text" autocomplete="off" tabindex="-1">
                </div>
                <ul class="chosen-results"></ul>
              </div>
            </div><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox" aria-haspopup="true"
                  aria-expanded="false" tabindex="0" aria-labelledby="select2-input_1_4-container"><span class="select2-selection__rendered" id="select2-input_1_4-container" title="Choose One:">Choose One:</span><span class="select2-selection__arrow"
                    role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
          </div>
        </div>
      </li>
      <li id="field_1_31" class="gfield gfield--type-captcha field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_31"><label class="gfield_label gform-field-label"
          for="input_1_31">CAPTCHA</label>
        <div id="input_1_31" class="ginput_container ginput_recaptcha gform-initialized" data-sitekey="6Lds5aggAAAAAO5pgHqKdL5xH9ZKLliE8Scfyuos" data-theme="light" data-tabindex="0" data-badge="">
          <div style="width: 304px; height: 78px;">
            <div><iframe title="reCAPTCHA" width="304" height="78" role="presentation" name="a-p4lnxv8f4iev" frameborder="0" scrolling="no"
                sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
                src="https://www.google.com/recaptcha/api2/anchor?ar=1&amp;k=6Lds5aggAAAAAO5pgHqKdL5xH9ZKLliE8Scfyuos&amp;co=aHR0cHM6Ly9pbW11bm90aGVyYXB5aW5zdGl0dXRlLmNvbTo0NDM.&amp;hl=en&amp;v=u-xcq3POCWFlCr3x8_IPxgPu&amp;theme=light&amp;size=normal&amp;cb=6j1byv7kte20"></iframe>
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      </li>
      <li id="field_1_20" class="gfield gfield--type-checkbox gfield--type-choice gf_right_half hide-field-label field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden" data-js-reload="field_1_20">
        <div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label screen-reader-text gfield_label_before_complex"></label>
        <div class="ginput_container ginput_container_checkbox">
          <ul class="gfield_checkbox" id="input_1_20">
            <li class="gchoice gchoice_1_20_1">
              <input class="gfield-choice-input" name="input_20.1" type="checkbox" value="Yes, mail me an info packet" id="choice_1_20_1">
              <label for="choice_1_20_1" id="label_1_20_1" class="gform-field-label gform-field-label--type-inline">Yes, mail me an info packet</label>
            </li>
          </ul>
        </div>
      </li>
      <li id="field_1_15" class="gfield gfield--type-checkbox gfield--type-choice gf_right_half hide-field-label field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_15"><label
          class="gfield_label gform-field-label screen-reader-text gfield_label_before_complex"></label>
        <div class="ginput_container ginput_container_checkbox">
          <ul class="gfield_checkbox" id="input_1_15">
            <li class="gchoice gchoice_1_15_1">
              <input class="gfield-choice-input" name="input_15.1" type="checkbox" value="additional-comments" id="choice_1_15_1">
              <label for="choice_1_15_1" id="label_1_15_1" class="gform-field-label gform-field-label--type-inline">Add Additional Comments</label>
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          </ul>
        </div>
      </li>
      <li id="field_1_21" class="gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_21" data-conditional-logic="hidden" style="display: none;"><label
          class="gfield_label gform-field-label" for="input_1_21">Street Address</label>
        <div class="ginput_container ginput_container_text"><input name="input_21" id="input_1_21" type="text" value="" class="large" aria-invalid="false" disabled="disabled"> </div>
      </li>
      <li id="field_1_23" class="gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_23" data-conditional-logic="hidden" style="display: none;"><label
          class="gfield_label gform-field-label" for="input_1_23">State / Province</label>
        <div class="ginput_container ginput_container_text"><input name="input_23" id="input_1_23" type="text" value="" class="large" aria-invalid="false" disabled="disabled"> </div>
      </li>
      <li id="field_1_24" class="gfield gfield--type-text gf_left_half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_24" data-conditional-logic="hidden" style="display: none;">
        <label class="gfield_label gform-field-label" for="input_1_24">City</label>
        <div class="ginput_container ginput_container_text"><input name="input_24" id="input_1_24" type="text" value="" class="medium" aria-invalid="false" disabled="disabled"> </div>
      </li>
      <li id="field_1_25" class="gfield gfield--type-text gf_right_half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_25" data-conditional-logic="hidden" style="display: none;">
        <label class="gfield_label gform-field-label" for="input_1_25">Zip / Postal Code</label>
        <div class="ginput_container ginput_container_text"><input name="input_25" id="input_1_25" type="text" value="" class="medium" aria-invalid="false" disabled="disabled"> </div>
      </li>
      <li id="field_1_14" class="gfield gfield--type-textarea additional-comments field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_14" data-conditional-logic="hidden"
        style="display: none;"><label class="gfield_label gform-field-label" for="input_1_14">Additional Comments</label>
        <div class="ginput_container ginput_container_textarea"><textarea name="input_14" id="input_1_14" class="textarea small" aria-invalid="false" rows="10" cols="50" disabled="disabled"></textarea></div>
      </li>
      <li id="field_1_27" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_27">
        <div class="ginput_container ginput_container_text"><input name="input_27" id="input_1_27" type="hidden" class="gform_hidden" aria-invalid="false" value="https://immunotherapyinstitute.com/ - Home"></div>
      </li>
      <li id="field_1_30" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_30">
        <div class="ginput_container ginput_container_text"><input name="input_30" id="input_1_30" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
      </li>
      <li id="field_1_28" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_28">
        <div class="ginput_container ginput_container_text"><input name="input_28" id="input_1_28" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
      </li>
      <li id="field_1_29" class="gfield gfield--type-uid field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden" data-js-reload="field_1_29"><label class="gfield_label gform-field-label" for="input_1_29">ITI Form
          ID</label>
        <div class="ginput_container ginput_container_hidden"><input name="input_29" id="input_1_29" type="hidden" value=""></div>
      </li>
      <li id="field_1_999999" class="gfield gfield--type-text honeypot-field field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_999999"><label class="gfield_label gform-field-label"
          for="input_1_999999">Contact Fax</label>
        <div class="ginput_container ginput_container_text"><input name="input_999999" id="input_1_999999" type="text" value="" class="medium" aria-invalid="false"> </div>
      </li>
      <li id="field_1_1000000" class="gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible" data-js-reload="field_1_1000000"><label
          class="gfield_label gform-field-label" for="input_1_1000000">Name</label>
        <div class="ginput_container"><input name="input_1000000" id="input_1_1000000" type="text" value="" autocomplete="new-password"></div>
        <div class="gfield_description" id="gfield_description_1_1000000">This field is for validation purposes and should be left unchanged.</div>
      </li>
    </ul>
  </div>
  <div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_1" class="gform_button button" value="Submit"
      onclick="if(window[&quot;gf_submitting_1&quot;]){return false;}  if( !jQuery(&quot;#gform_1&quot;)[0].checkValidity || jQuery(&quot;#gform_1&quot;)[0].checkValidity()){window[&quot;gf_submitting_1&quot;]=true;}  "
      onkeypress="if( event.keyCode == 13 ){ if(window[&quot;gf_submitting_1&quot;]){return false;} if( !jQuery(&quot;#gform_1&quot;)[0].checkValidity || jQuery(&quot;#gform_1&quot;)[0].checkValidity()){window[&quot;gf_submitting_1&quot;]=true;}  jQuery(&quot;#gform_1&quot;).trigger(&quot;submit&quot;,[true]); }">
    <input type="hidden" name="gform_ajax" value="form_id=1&amp;title=1&amp;description=&amp;tabindex=0&amp;theme=data-form-theme='legacy'">
    <input type="hidden" class="gform_hidden" name="is_submit_1" value="1">
    <input type="hidden" class="gform_hidden" name="gform_submit" value="1">
    <input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
    <input type="hidden" class="gform_hidden" name="state_1" value="WyJbXSIsIjdmNWZhZTVmZGNlNDRlY2QxMDE1Njc0YWZjZWI2OGIwIl0=">
    <input type="hidden" class="gform_hidden" name="gform_target_page_number_1" id="gform_target_page_number_1" value="0">
    <input type="hidden" class="gform_hidden" name="gform_source_page_number_1" id="gform_source_page_number_1" value="1">
    <input type="hidden" name="gform_field_values" value="">
  </div>
  <p style="display: none !important;"><label>Δ<textarea name="ak_hp_textarea" cols="45" rows="8" maxlength="100"></textarea></label><input type="hidden" id="ak_js_1" name="ak_js" value="1704151891465">
    <script>
      document.getElementById("ak_js_1").setAttribute("value", (new Date()).getTime());
    </script>
  </p>
</form>

POST /

<form method="post" enctype="multipart/form-data" id="gform_1" class="itc-lead-form itc-lead-form--content" action="/" data-formid="1" novalidate="">
  <input type="hidden" class="gforms-pum" value="{&quot;closepopup&quot;:false,&quot;closedelay&quot;:0,&quot;openpopup&quot;:false,&quot;openpopup_id&quot;:0}">
  <div class="gform-body gform_body">
    <ul id="gform_fields_1" class="gform_fields top_label form_sublabel_below description_below">
      <li id="field_1_7" class="gfield gfield--type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_7"><label
          class="gfield_label gform-field-label" for="input_1_7">Your First Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_text"><input name="input_7" id="input_1_7" type="text" value="" class="large" aria-required="true" aria-invalid="false"> </div>
      </li>
      <li id="field_1_11" class="gfield gfield--type-text gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_11"><label
          class="gfield_label gform-field-label" for="input_1_11">Your Last Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_text"><input name="input_11" id="input_1_11" type="text" value="" class="large" aria-required="true" aria-invalid="false"> </div>
      </li>
      <li id="field_1_6" class="gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_6"><label
          class="gfield_label gform-field-label" for="input_1_6">Relationship to Patient<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select">
          <div class="fancy-select-wrap"><select name="input_6" id="input_1_6" class="large gfield_select select2-hidden-accessible" aria-required="true" aria-invalid="false" tabindex="-1" aria-hidden="true">
              <option value="" selected="selected" class="gf_placeholder">Choose One:</option>
              <option value="Myself" selected="selected">Myself</option>
              <option value="Spouse">Spouse</option>
              <option value="Family Member">Family Member</option>
              <option value="Friend">Friend</option>
              <option value="Other">Other</option>
            </select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox" aria-haspopup="true"
                  aria-expanded="false" tabindex="0" aria-labelledby="select2-input_1_6-container"><span class="select2-selection__rendered" id="select2-input_1_6-container" title="Myself">Myself</span><span class="select2-selection__arrow"
                    role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span></div>
        </div>
      </li>
      <li id="field_1_12" class="gfield gfield--type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_12"><label
          class="gfield_label gform-field-label" for="input_1_12">Patient First Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_text"><input name="input_12" id="input_1_12" type="text" value="" class="large" aria-required="true" aria-invalid="false"> </div>
      </li>
      <li id="field_1_13" class="gfield gfield--type-text gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_13"><label
          class="gfield_label gform-field-label" for="input_1_13">Patient Last Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_text"><input name="input_13" id="input_1_13" type="text" value="" class="large" aria-required="true" aria-invalid="false"> </div>
      </li>
      <li id="field_1_2" class="gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_2"><label class="gfield_label gform-field-label"
          for="input_1_2">Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_email">
          <input name="input_2" id="input_1_2" type="email" value="" class="large" aria-required="true" aria-invalid="false">
        </div>
      </li>
      <li id="field_1_9" class="gfield gfield--type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_9"><label
          class="gfield_label gform-field-label" for="input_1_9">Phone<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_text"><input name="input_9" id="input_1_9" type="text" value="" class="large" aria-required="true" aria-invalid="false"> </div>
      </li>
      <li id="field_1_18" class="gfield gfield--type-text gf_right_half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_18"><label class="gfield_label gform-field-label"
          for="input_1_18">Cell Phone</label>
        <div class="ginput_container ginput_container_text"><input name="input_18" id="input_1_18" type="text" value="" class="medium" aria-invalid="false"> </div>
      </li>
      <li id="field_1_10" class="gfield gfield--type-select gf_left_half sel-country gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_10"><label
          class="gfield_label gform-field-label" for="input_1_10">Country<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select">
          <div class="fancy-select-wrap"><select name="input_10" id="input_1_10" class="medium gfield_select select2-hidden-accessible" aria-required="true" aria-invalid="false" tabindex="-1" aria-hidden="true">
              <option value="" selected="selected" class="gf_placeholder">Choose One:</option>
              <option value="United States">United States</option>
              <option value="Canada">Canada</option>
              <option value="Afghanistan">Afghanistan</option>
              <option value="Albania">Albania</option>
              <option value="Algeria">Algeria</option>
              <option value="American Samoa">American Samoa</option>
              <option value="Andorra">Andorra</option>
              <option value="Angola">Angola</option>
              <option value="Antigua and Barbuda">Antigua and Barbuda</option>
              <option value="Argentina">Argentina</option>
              <option value="Armenia">Armenia</option>
              <option value="Australia">Australia</option>
              <option value="Austria">Austria</option>
              <option value="Azerbaijan">Azerbaijan</option>
              <option value="Bahamas">Bahamas</option>
              <option value="Bahrain">Bahrain</option>
              <option value="Bangladesh">Bangladesh</option>
              <option value="Barbados">Barbados</option>
              <option value="Belarus">Belarus</option>
              <option value="Belgium">Belgium</option>
              <option value="Belize">Belize</option>
              <option value="Benin">Benin</option>
              <option value="Bermuda">Bermuda</option>
              <option value="Bhutan">Bhutan</option>
              <option value="Bolivia">Bolivia</option>
              <option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
              <option value="Botswana">Botswana</option>
              <option value="Brazil">Brazil</option>
              <option value="Brunei">Brunei</option>
              <option value="Bulgaria">Bulgaria</option>
              <option value="Burkina Faso">Burkina Faso</option>
              <option value="Burundi">Burundi</option>
              <option value="Cambodia">Cambodia</option>
              <option value="Cameroon">Cameroon</option>
              <option value="Canada">Canada</option>
              <option value="Cape Verde">Cape Verde</option>
              <option value="Cayman Islands">Cayman Islands</option>
              <option value="Central African Republic">Central African Republic</option>
              <option value="Chad">Chad</option>
              <option value="Chile">Chile</option>
              <option value="China">China</option>
              <option value="Colombia">Colombia</option>
              <option value="Comoros">Comoros</option>
              <option value="Congo, Democratic Republic of the">Congo, Democratic Republic of the</option>
              <option value="Congo, Republic of the">Congo, Republic of the</option>
              <option value="Costa Rica">Costa Rica</option>
              <option value="Côte d'Ivoire">Côte d'Ivoire</option>
              <option value="Croatia">Croatia</option>
              <option value="Cuba">Cuba</option>
              <option value="Cyprus">Cyprus</option>
              <option value="Czech Republic">Czech Republic</option>
              <option value="Denmark">Denmark</option>
              <option value="Djibouti">Djibouti</option>
              <option value="Dominica">Dominica</option>
              <option value="Dominican Republic">Dominican Republic</option>
              <option value="East Timor">East Timor</option>
              <option value="Ecuador">Ecuador</option>
              <option value="Egypt">Egypt</option>
              <option value="El Salvador">El Salvador</option>
              <option value="Equatorial Guinea">Equatorial Guinea</option>
              <option value="Eritrea">Eritrea</option>
              <option value="Estonia">Estonia</option>
              <option value="Ethiopia">Ethiopia</option>
              <option value="Faroe Islands">Faroe Islands</option>
              <option value="Fiji">Fiji</option>
              <option value="Finland">Finland</option>
              <option value="France">France</option>
              <option value="French Polynesia">French Polynesia</option>
              <option value="Gabon">Gabon</option>
              <option value="Gambia">Gambia</option>
              <option value="Georgia">Georgia</option>
              <option value="Germany">Germany</option>
              <option value="Ghana">Ghana</option>
              <option value="Greece">Greece</option>
              <option value="Greenland">Greenland</option>
              <option value="Grenada">Grenada</option>
              <option value="Guam">Guam</option>
              <option value="Guatemala">Guatemala</option>
              <option value="Guinea">Guinea</option>
              <option value="Guinea-Bissau">Guinea-Bissau</option>
              <option value="Guyana">Guyana</option>
              <option value="Haiti">Haiti</option>
              <option value="Honduras">Honduras</option>
              <option value="Hong Kong">Hong Kong</option>
              <option value="Hungary">Hungary</option>
              <option value="Iceland">Iceland</option>
              <option value="India">India</option>
              <option value="Indonesia">Indonesia</option>
              <option value="Iran">Iran</option>
              <option value="Iraq">Iraq</option>
              <option value="Ireland">Ireland</option>
              <option value="Israel">Israel</option>
              <option value="Italy">Italy</option>
              <option value="Jamaica">Jamaica</option>
              <option value="Japan">Japan</option>
              <option value="Jordan">Jordan</option>
              <option value="Kazakhstan">Kazakhstan</option>
              <option value="Kenya">Kenya</option>
              <option value="Kiribati">Kiribati</option>
              <option value="North Korea">North Korea</option>
              <option value="South Korea">South Korea</option>
              <option value="Kosovo">Kosovo</option>
              <option value="Kuwait">Kuwait</option>
              <option value="Kyrgyzstan">Kyrgyzstan</option>
              <option value="Laos">Laos</option>
              <option value="Latvia">Latvia</option>
              <option value="Lebanon">Lebanon</option>
              <option value="Lesotho">Lesotho</option>
              <option value="Liberia">Liberia</option>
              <option value="Libya">Libya</option>
              <option value="Liechtenstein">Liechtenstein</option>
              <option value="Lithuania">Lithuania</option>
              <option value="Luxembourg">Luxembourg</option>
              <option value="Macedonia">Macedonia</option>
              <option value="Madagascar">Madagascar</option>
              <option value="Malawi">Malawi</option>
              <option value="Malaysia">Malaysia</option>
              <option value="Maldives">Maldives</option>
              <option value="Mali">Mali</option>
              <option value="Malta">Malta</option>
              <option value="Marshall Islands">Marshall Islands</option>
              <option value="Mauritania">Mauritania</option>
              <option value="Mauritius">Mauritius</option>
              <option value="Mexico">Mexico</option>
              <option value="Micronesia">Micronesia</option>
              <option value="Moldova">Moldova</option>
              <option value="Monaco">Monaco</option>
              <option value="Mongolia">Mongolia</option>
              <option value="Montenegro">Montenegro</option>
              <option value="Morocco">Morocco</option>
              <option value="Mozambique">Mozambique</option>
              <option value="Myanmar">Myanmar</option>
              <option value="Namibia">Namibia</option>
              <option value="Nauru">Nauru</option>
              <option value="Nepal">Nepal</option>
              <option value="Netherlands">Netherlands</option>
              <option value="New Zealand">New Zealand</option>
              <option value="Nicaragua">Nicaragua</option>
              <option value="Niger">Niger</option>
              <option value="Nigeria">Nigeria</option>
              <option value="Northern Mariana Islands">Northern Mariana Islands</option>
              <option value="Norway">Norway</option>
              <option value="Oman">Oman</option>
              <option value="Pakistan">Pakistan</option>
              <option value="Palau">Palau</option>
              <option value="Palestine, State of">Palestine, State of</option>
              <option value="Panama">Panama</option>
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              <option value="Philippines">Philippines</option>
              <option value="Poland">Poland</option>
              <option value="Portugal">Portugal</option>
              <option value="Puerto Rico">Puerto Rico</option>
              <option value="Qatar">Qatar</option>
              <option value="Romania">Romania</option>
              <option value="Russia">Russia</option>
              <option value="Rwanda">Rwanda</option>
              <option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
              <option value="Saint Lucia">Saint Lucia</option>
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              <option value="Samoa">Samoa</option>
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              <option value="Saudi Arabia">Saudi Arabia</option>
              <option value="Senegal">Senegal</option>
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              <option value="Sudan, South">Sudan, South</option>
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              <option value="Sweden">Sweden</option>
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              <option value="Virgin Islands, British">Virgin Islands, British</option>
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            </select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox" aria-haspopup="true"
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              <option value="Multiple Myeloma">Multiple Myeloma</option>
              <option value="Neuroblastoma">Neuroblastoma</option>
              <option value="Non-Hodgkin Lymphoma">Non-Hodgkin Lymphoma</option>
              <option value="Oral Cancer">Oral Cancer</option>
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              <option value="Pancreatic Cancer">Pancreatic Cancer</option>
              <option value="Penile Cancer">Penile Cancer</option>
              <option value="Primary Central Nervous System (CNS) Lymphoma">Primary Central Nervous System (CNS) Lymphoma</option>
              <option value="Prostate Cancer">Prostate Cancer</option>
              <option value="Sarcoma">Sarcoma</option>
              <option value="Sinus Cancer">Sinus Cancer</option>
              <option value="Skin Cancer">Skin Cancer</option>
              <option value="Small Intestine Cancer">Small Intestine Cancer</option>
              <option value="Spinal Cancer">Spinal Cancer</option>
              <option value="Squamous Cell Carcinoma">Squamous Cell Carcinoma</option>
              <option value="Stomach Cancer">Stomach Cancer</option>
              <option value="Testicular Cancer">Testicular Cancer</option>
              <option value="Throat Cancer">Throat Cancer</option>
              <option value="Thymoma / Thymic Carcinoma">Thymoma / Thymic Carcinoma</option>
              <option value="Thyroid Cancer">Thyroid Cancer</option>
              <option value="Urethral Cancer">Urethral Cancer</option>
              <option value="Uterine Cancer">Uterine Cancer</option>
              <option value="Vaginal Cancer">Vaginal Cancer</option>
              <option value="Vulvar Cancer">Vulvar Cancer</option>
              <option value="Other">Other</option>
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A WHOLE-PERSON APPROACH TO CANCER TREATMENT IN MEXICO AT IMMUNOTHERAPY INSTITUTE


AT THE IMMUNOTHERAPY INSTITUTE WE’RE HEALING THE MIND, BODY AND SPIRIT OF CANCER
PATIENTS FROM AROUND THE WORLD.


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DISCOVER THE LIFE-CHANGING IMPACT OF IMMUNOTHERAPY FOR CANCER TREATMENT.

Watch inspiring patient testimonials from those who have battled a range of
cancers, including lung cancer, breast cancer, and more. At the Immunotherapy
Institute, our cutting-edge treatments and compassionate care can help you on
your journey to recovery. Join us and explore our innovative approach to cancer
care today.









Watch More Testimonials

WHY CHOOSE US


WE KNOW THAT OUR PATIENTS DO CAREFUL RESEARCH…



...before choosing an alternative cancer treatment program in Mexico. We’re
confident that Immunotherapy Institute offers the most advanced, successful
program in Tijuana.

Learn More

OUR TREATMENTS


THE GOAL OF OUR PROGRAM IS…



...remission, regardless of what challenges we face - all under the absolute
golden rule: maintaining the patient’s quality of life.

Find Hope

PATIENT EXPERIENCE


WHAT DRIVES THE OVERALL EXPERIENCE FOR OUR PATIENTS…



...is the idea that the patient is the leader of our medical team.

See Our Story

MEET OUR TEAM


THE MISSION OF OUR TEAM IS NOT JUST TO ANALYZE AND TREAT THE PATIENT…



...but also to empower them with the tools to understand their disease and how
to beat it.

Meet Our Team


MEET OUR TEAM

Meet the dedicated world-renowned medical team at our alternative cancer
treatment center in Tijuana, Mexico.



DR ARIEL PEREZ CARBAJAL

Director of Functional Medicine



DR ALEJANDRO MARTINEZ NAVA

Clinical Oncologist



DR ALFONSO MARTINEZ

Lead treating physician



ANDRES MERAZ

Treating physician



DR. CESAR AMESCUA

Pain Management Specialist



ANETTE SOLORIO

Clinical Nutritionist



‹›



CANCER TYPES & TREATMENTS

Every treatment and therapy we offer at Immunotherapy Institute has been
evaluated in medical laboratories.




BREAST CANCER

Breast cancer is the second most common cancer among American women, only behind
skin cancer. About 250,000 women in …

Read More




PROSTATE CANCER

Roughly one in five men in the United States will be diagnosed with prostate
cancer during their lifetime …

Read More




LUNG CANCER

Lung cancer is the leading cause of cancer deaths in the United States, among
both men and women. Lung cancer claims …

Read More




PROSTATE CANCER

Roughly one in five men in the United States will be diagnosed with prostate
cancer during their lifetime.

READ MORE


STOMACH CANCER

Over one million cases of gastric cancer are diagnosed each year around the
world. Stomach cancer is the 5th most commonly diagnosed cancer in the world …

READ MORE


LIVER CANCER

Liver cancer happens when normal cells in the liver change into abnormal cells
and grow out of control. The liver is a big organ in the upper right side of the
belly …

READ MORE


COLORECTAL CANCER

Colorectal cancer (CRC) is a common and potentially lethal disease. It is
estimated that approximately 145,600 new cases of large bowel cancer are
diagnosed annually in the United States …

READ MORE


BREAST CANCER

Breast cancer is the second most common cancer among American women, only behind
skin cancer. About 250,000 women in …

READ MORE


LUNG CANCER

Lung cancer is the leading cause of cancer deaths in the United States, among
both men and women. Lung cancer claims …

READ MORE


MELANOMA

Melanoma is a serious form of skin cancer. It happens when normal cells in the
skin change into abnormal cells and grow out of control …

READ MORE

We Treat ALL Cancer Types


SOFT TISSUE SARCOMA

Young adults experience the lowest incidence of soft tissue sarcomas, but
occurrence steadily increases until the age of 50.

READ MORE


OVARIAN CANCER

Ovarian cancer is the second most common cancer of the reproductive organs among
women in the United States. It most commonly occurs in women between the ages of
50 and 65

READ MORE


UTERINE CANCER

Uterine cancer is the most common gynecologic cancer. Uterine cancer rates are
highest among black women and are increasing among all women

READ MORE


ESOPHAGEAL CANCER

Squamous cell carcinoma (SCC) and adenocarcinoma account for over 95 percent of
esophageal malignant tumors

READ MORE


PANCREATIC CANCER

Multiple factors, including a complex and poorly understood pathophysiology and
difficulty in early detection and diagnosis make successful treatment of
pancreatic cancer extremely challenging.

READ MORE


LYMPHOMA

A lymphoma is a group of blood cell tumors that develop from lymphocytes, which
are the white blood cells of your body’s immune system …

READ MORE


OTHER CANCER TYPES

Many of our patients come to Immunotherapy Institute cancer clinic after they’ve
been told to give up—that there’s nothing medicine and doctors can do for them

READ MORE

Diseases We Treat


THE IMMUNOTHERAPY INSTITUTE PROTOCOL

SIX STEPS TO HELP YOU BEAT CANCER


THE HOLISTIC ASSESSMENT




The Holistic Assessment is our first step, where our multidisciplinary team
composed of oncologists, surgeons, nutritionists and holistic medicine experts
tailor treatment based on the individual needs and medical history of the
patient.


CELLULAR NUTRITION




Cellular Nutrition is an ongoing stage that is designed to make the patient’s
body stronger and healthier so that it can better endure treatment and minimize
side-effects.


DETOXIFICATION




The Detoxification process begins following the initial assessment and is a key
element to the management of any type of chronic degenerative diseases including
cancer.


IMMUNE SUPPORT AND REGULATION




Our immune system support and regulation therapies play a critical role in the
fight against cancer, here we relieve the body of chronic inflammation that
compromises the body’s defense system and prevents it from fighting cancer.


CANCER SUPPRESSION




Our cancer suppression strategy employs the combination of proven therapeutic
cancer treatments that have been scientifically tested to reverse the effects of
cancer or to completely cure cancer.


FOLLOW UP



Our Follow Up Program sets us apart from other programs. We follow our patients
for three years after treatment to give them the tools to help them stay in
remission.

ABOUT IMMUNOTHERAPY INSTITUTE

Our team has over twenty years of experience in alternative medicine and natural
cancer therapy. We take pride in going above and beyond to deliver both the best
treatment and an outstanding experience to every patient. Because we limit how
many patients we see at one time, we are able to provide attentive care of the
highest quality.

Contact us by phone:
(619) 832-2230

Address:
Diego Rivera 2339,
Zona Urbana Rio Tijuana,
22010 Tijuana, B.C.

DISEASES WE TREAT

 * View All Disease Types
 * Breast Cancer
 * Prostate Cancer
 * Lung Cancer
 * Stomach Cancer
 * Liver Cancer
 * Colorectal Cancer
 * Melanoma
 * Soft Tissue Sarcoma
 * Ovarian Cancer
 * Uterine Cancer
 * Esophageal Cancer
 * Pancreatic Cancer
 * Lymphoma

OUR TREATMENTS

 * Cellular Nutrition
 * Detoxification
 * Immune Support and Regulation
 * Cancer Supression
 * T Cell Modulator Therapy
 * Immunotherapy
 * Hyperthermia
 * Hipec procedure
 * Non-Chemo IPT
 * Preconditioning Treatment

ABOUT US

 * Survival Rates
 * Patient Experience
   * Integrative Assessment
   * Follow Up
   * Testimonials
   * Travel Information
 * Financial Aid
 * Our Medical Team
 * Facilities
 * Blog
 * Contact Us

© 2020 Immunotherapy Institute

 * Privacy Policy
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Menu
A Message from Dr. Ariel Perez on COVID-19. Let's discuss your options:
[phone_number]
 * Why Choose Us
 * Diseases We Treat
   * View All Disease Types
   * Breast Cancer
   * Prostate Cancer
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   * Melanoma
   * Soft Tissue Sarcoma
   * Ovarian Cancer
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   * Lymphoma
 * Our Treatments
   * Cellular Nutrition
   * Detoxification
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   * T Cell Modulator Therapy
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   * Immunotherapy
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   * Preconditioning Treatment
 * Testimonials
 * About us
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     * Integrative Assessment
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