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Call To Action



Please help C-Change promote Cancer Patient Navigation and become an important part of this Call to Action. Please indicate your interest in one or more areas of action. C-Change will follow up with you to ensure your support.


Call to Action Options I agree to take this action Contact Person in my organization
(name, email, phone)		 Additional Information that you are able to provide about action item
Provide a point person at your organization to help promote the development of community based patient navigation
Name:
Email:
Phone
Provide access for C-Change to present to key health and cancer stakeholder meetings
Name:
Email:
Phone
Create a link on your Web site to CPN information
Name:
Email:
Phone
Other suggestions


Name: Organization:
Email: Phone:
Date:





 
C-Change | 1776 Eye Street, NW, 9th Floor | Washington, DC 20006
202-756-1600 phone | 202-756-1512 fax