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Preparing for an appointment · Romania

The first appointment after a cancer diagnosis

Documents, questions and the next step in Romania’s healthcare system. Choose the questions that matter now and take them to the appointment on one sheet.

What should I bring to the first appointment?

Confirm the list with the centre you are visiting. Requirements may depend on the appointment and the investigations already completed.

  • Confirm what the centre needs: reports, medical letters, images and referrals.
  • Prepare copies of reports and images in the format the centre requests.
  • Bring a list of medicines, supplements and allergies.
  • For another review of the sample, ask who arranges transfer of slides or paraffin blocks.

National Cancer Institute: pathology reports

Questions for the appointment

Mark up to five questions you want to discuss. Your sheet updates alongside them. You can also download the complete checklist without selecting anything.

0 / 5 questions selected

What is known and what is missing
The next appointment
Costs and support
Treatment and contact with the team

Your selection stays only in this open page. It is not sent anywhere or included in the page link.

Complete checklist · PDF

Who arranges the next step?

If further investigations are needed for diagnosis

Romanian patient-rights law provides for direction and booking of the next consultation or investigation needed to establish a diagnosis, through a mechanism at the unit where the previous consultation took place. Ask how it works there and which documents are needed.

Law 46/2003, arts. 4 and 11, amended by Law 27/2026

For a second opinion

You can seek another medical opinion. For insured people, the law provides a second consultation paid through health insurance when justified. Confirm the referral, provider and coverage; this does not promise unlimited consultations or free access to every private practice.

Law 46/2003, arts. 4 and 11, amended by Law 27/2026

For multidisciplinary discussion

Ask whether specialists from different disciplines have discussed your case, what information they still need and who will explain their recommendation. Confirm the service and procedure with the centre; a hospital’s name alone does not establish them.

National Cancer Plan, Law 293/2022, annex

What do the terms in the report mean?

A pathology report describes the examined sample and the pathologist’s diagnosis. Some results, including molecular tests, may arrive separately.

National Cancer Institute: pathology reports

Type
The kind of cancer identified in the sample.
Grade
How abnormal the cells look under a microscope.
Stage
How extensive the cancer is. Establishing it may require imaging and other investigations; staging systems differ between cancers.
Margins and lymph nodes
Information that may appear when the specimen allows assessment of the edges of removed tissue or the lymph nodes examined.
Biomarkers
Tumour characteristics measured by particular tests that may help select treatment. Relevant tests differ between cancers.

National Cancer Institute: pathology reports · National Cancer Institute: cancer staging

Ask what is confirmed, which result is still pending and what it might change. An isolated term or value does not determine treatment on its own.

Glass microscope slides arranged in a fan.
Glass microscope slides. For another pathology review, ask the receiving centre which samples and documents it requires and who arranges the transfer.
Photo: Zephyris, 2011 · Wikimedia Commons · CC BY-SA 3.0. Resized and converted to WebP. Source · Licence

What should I check about insurance and costs?

If you cannot prove insured status

Where cancer is suspected, reimbursement pathways cover specified diagnostic tests needed to confirm the suspicion, recommended by a family doctor or specialist, and day-hospital diagnostic services, with the required referral documents. These operate through contracted providers and the funding arrangements in the rules. Ask which service is covered at the provider you choose.

Framework contract, HG 521/2023, arts. 77, 77¹, 92, 97¹–97²

If the diagnosis is confirmed

CNAS, Romania’s national health insurance fund, states that people without income enrolled in the national oncology programme are insured and receive programme services and the basic package until recovery. Check enrolment, insured status and eligibility for the recommended treatment separately.

CNAS: national programme access, 9 January 2026

More about access through Romania’s health insurance fund

What support can I ask for, including for a companion?

Ask the centre about a psychologist, social worker and patient navigator. This guide does not confirm that these services are available at every provider.

The patient’s sick leave

For people insured for leave and allowances, cancer-related incapacity has special rules, including no minimum contribution-period condition. The maximum can reach one year and six months within the preceding two years, depending on disease stage. The gross rate is 100% of the statutory calculation base, not a guaranteed take-home salary. The certifying doctor and employer can clarify documents and the applicable calculation.

Emergency Ordinance 158/2005, arts. 9, 10, 13, 17 and 30¹–30³

Leave for the person accompanying the patient

A person insured for leave and allowances who, with the consent of a cancer patient older than 18, accompanies them to surgery or specialist-prescribed treatment may receive up to 45 calendar days in a year per patient. Consent covers one person for each intervention or treatment. A specialist’s certificate is required; the allowance rate is 85% of the statutory calculation base.

Emergency Ordinance 158/2005, arts. 9, 10, 13, 17 and 30¹–30³

The 2026 one-day allowance reduction has exceptions, including national-programme patients and leave to accompany a cancer patient. Confirm the situation and certificate requirements before estimating payment.

Law 64/2026: exceptions to the one-day allowance reduction

How can I discuss a clinical trial?

The European CTIS portal lets you search by condition and country. Check participation criteria and the site’s contact details, then discuss it with your doctor. Country-level recruitment status does not confirm that a particular site is currently accepting participants or that you are eligible.

EMA: searching for clinical trials in CTIS

Ask about the aim, risks, alternatives, visits, travel and any costs you would bear. A registry result is a starting point for a discussion.

Sources and limits of this guide

An appointment-preparation guide for Romania. Laws and official explanations establish general rights and conditions; the provider confirms its procedure and availability. NCI, the US National Cancer Institute, supplies explanations of medical terms, not an individual investigation or treatment plan. The questions and sheets support a conversation with your own care team.

Sources checked: 16 October 2026. Review due by 16 January 2027.

Source checking is not a clinical review of an individual case.

  1. Law 46/2003, arts. 4 and 11, amended by Law 27/2026
  2. Framework contract, HG 521/2023, arts. 77, 77¹, 92, 97¹–97²
  3. CNAS: national programme access, 9 January 2026
  4. National Cancer Plan, Law 293/2022, annex
  5. National Cancer Institute: pathology reports
  6. National Cancer Institute: cancer staging
  7. Emergency Ordinance 158/2005, arts. 9, 10, 13, 17 and 30¹–30³
  8. Law 64/2026: exceptions to the one-day allowance reduction
  9. EMA: searching for clinical trials in CTIS