Contact Us

2024 Title & Breadcrumbs Banner

Contact Us

We would love to hear from you! Please fill out this form and we will get in touch with you shortly.

Feel prepared for every appointment

Carrying the right information can empower you during your cancer care journey. Use these tools to help organize this information so you can be an active participant in your cancer care.

Keep them handy for use at home and bring them along to your doctor visits and other medical appointments.

#KnowCancer Tip

Update your information and checklist after each appointment to keep track of your progress and prepare for your next visit. Being organized is a key step in navigating your cancer care with confidence.

Essentials Checklist

  • Important Contacts: Include your healthcare team's phone numbers and email addresses.
  • Health and Treatment History: A brief summary of your diagnosis, treatment plans, and any past procedures or surgeries.
  • Copies of Reports: Bring recent blood tests, pathology reports, and any other relevant medical records.
  • Calendar: Your schedule of upcoming appointments, treatments, and tests.
  • Progress Notes: Observations about your symptoms, side effects, and any changes in your condition.
  • Questions: A list of questions or concerns you have for your healthcare provider. Don't hesitate to ask anything that's on your mind.
  • Insurance Information: Your insurance card and any necessary authorization forms or documents.

Join The Fight Against Cancer

Your donation fuels breakthrough research and supports those affected by cancer. Together, we can make a lasting impact.