Our mission is to improve the quality of life for cancer patients and their families
Watch our video about our cancer support services

Talk to someone who had the same diagnosis


We understand. We had the same questions, fears and concerns when we were diagnosed with cancer that you may have. This is a free service and the information below is kept confidential and is never shared with any third parties. CanCare works with cancer survivors and caregivers who can relate to what you are experiencing, often being able to connect you with someone who has survived your specific type of cancer. Read some of their stories here.

Patient or family member information.
If you are filling out the form for a loved one, please get their permission to do so. Giving specific details helps us connect you with a survivor or caregiver whose experience is as close to yours as possible.

Patient/family member details
* required fields
Patient.
Family member or caregiver.
First name:*
Last name:*
Type of cancer / stage of cancer / has the cancer spread, if so, where:*
Cancer treatment, list all that apply: radiation, chemo, type of surgery:*
Age:*
Be detailed about what you would like to discuss with another survivor or caregiver?:*
Home phone:*
Cell phone:
Email Address:*
Home street address:
Home city:
Home state:*
Home zip code:
How did you hear about CanCare? If from a friend of family member, how did they hear?:*
Do you prefer to be contacted by phone or by email?:*

 
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Enter Security Code:



Please note that we collect these specific details in order to connect you with a cancer survivor or caregiver whose experience is as close to yours as possible. A CanCare staff member may contact you if we need additional information.

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Anita Bullers (left) and Phyllis Nawrot have become fast friends after being matched through CanCare.