Cancer Patient Navigator Referral

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Personal information and personal health information will be collected for the purpose of providing clients with the appropriate services. Personal information is collected under section 31(c) of Prince Edward Island's Freedom of Information and Protection of Privacy (FOIPP) Act. If you have any questions, contact the Cancer Patient Navigator at 902-894-2552.

Identification

Provide the contact information for the person you are referring.

For example: 902-555-5555
Your Information
Do you wish to be contacted by the navigator?
For example 902-555-5555
For example 902-555-5555
CAPTCHA
4 + 0 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.