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If you are a member of an organization fill out our community referral here.

If you are currently diagnosed with cancer and are in need of support services please fill out the form below and one of our representatives will reach out to you as soon as possible.

If you are unable to complete this form for whatever reason, please click here to contact us and one of our qualified service specialists will reach out and assist you.

Tell us about yourself.
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If you'd like to you can upload a photo of yourself here.
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What is your relationship to the patient?
What would you like to receive assistance with? Required

The United Cancer Alliance is a nonprofit organization devoted to bringing support services and navigation assistance to cancer patients, their family members, and their caregivers.

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CONTACT >

P: (810) 201-4755

E: info@ucalliance.org

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