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This website is currently offline for administrative purposes. Please e-mail cardsupport@cancer.org for information on placing your order.


Please answer the questions below in the body of your email to cardsupport@cancer.org to place an order.



1. Are you a federally qualified health center (FQHC)? Yes or No

2. Are you a VA Hospital, Medical Center or Clinic? Yes or No

3. How many kits will you need?
NOTE: While the materials are free, shipping and handling fees will apply to all Health Card Kit orders to none federally qualified or veterans affairs clinics unless otherwise approved. UPS freight charges for one (1) average kit is approximately $25 depending on your location.

4. What is the number of full-time physicians at your clinic?
0-5
6-10
More than 10

5. Would you like some portion of your kit to include Spanish language literature? Yes or No

If Yes please choose one.
25% Spanish Language Literature
50% Spanish Language Literature
75% Spanish Language Literature


6. Please give a brief description of what the materials will be used for.


You will receive a call or email from judyw@pkcomp.com to complete your order. Please make sure your contact information is included in your email.

We appreciate your business and apologize for any inconvenience.
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