Anvirzel^TM Treatment Overview

Patients requesting assessment and evaluation of their disease state by the medical staff of Salud Integral S.A. will be required to provide the completed information and consents found in the next section Required Patient Forms. Treatment subject to acceptance by Honduran Medical Review Board. Participation in Continuing Research If the patient is accepted for a course of AnvirzelTM therapy; he/she must agree to continue to provide Salud Integral S.A. with current medical records for their use and information as long as he/she continues on AnvirzelTM therapy. Acceptance into a prescribed AnvirzelTM therapy regimen by the medical staff of Salud Integral S.A. and the commencement of that regimen by the patient constitutes an acceptance of this condition. Provide Medical Records In order for our medical staff to be able to accurately determine acceptability and proper dosage, patients will be required to submit their medical records to the offices of Salud Integral for review by our medical staff prior to being accepted for AnvirzelTM therapy. Patients need to provide the completed Medical Overview Form and copies of their medical records that include physician report summaries of their current status and prognosis, medical history, evolution of disease and laboratory test results (Blood Work results and interpretations of Biopsy/Pathology, CAT Scans, MRI, PET etc.). Provide Patient Information Patient must provide address and contact information, physician information, and Quality of Life questionnaire. Provide Patient Consent Patient must provide signed consent for: Release of Medical Records; Acknowledgment for Use of Records; Condition of Participation, and Consent to Assume Risk. Personal Use Guidelines Salud Integral is currently treating patients from various countries (i.e., Korea, England, Ireland, Germany, Turkey, Canada, Mexico, USA; and others). Patients may acquire AnvirzelTM therapy from Honduras under the personal use guidelines. The patient must provide a completed Affirmation of Personal Use Form signed by the patient or patient representative. Personal Use Guidelines require: Acquiring treatment for personal use. (Not for commercial resale) Treatment is not currently available to the patient in their country. Patient has made a physician aware they are taking additional medical treatment. Patient has been instructed in the administration of treatment.