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Medical Release Form
Click here to download the Medical Release Form.
You will also need the Medical History Questionaire, which can be found here.
Adobe Acrobat Reader is required to view and print these forms.
If you do not have Adobe Acrobat Reader, you can download it for free...

You are never told the truth about chemotherapy
[Details]
As a non-profit, charitable, public benefit organization, we expend all our funds in
services to people with cancer. For your convenience we accept Visa, MasterCard and
personal checks. We are registered with the IRS under a 501 (c) (3) designation, (ID
#3000289). All donations are tax-deductible.
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