Get the Guide for Patients with a Recent Cancer Diagnosis

The American Cancer Society and Kohl’s are pleased to offer the Guide for Patients with a Recent Cancer Diagnosis. This is a reference guide for patients and their families designed to answer some of the most common questions about cancer, offer guidance when talking with their health care team, and provide support through the treatment process. It is available in English and Spanish, and is offered at no cost through the generous donation of Kohl’s.

Please complete this form to receive the for Patients with a Recent Cancer Diagnosis.

First Name *
Last Name *

Street Address *

Address Line 2

City *
Zip *
County *

Language *

By completing this form, you attest that you or someone you love lives in southeast Wisconsin (Jefferson, Kenosha, Milwaukee, Ozaukee, Racine, Sheboygan, Walworth, Washington or Waukesha County) and is interested in receiving materials from the American Cancer Society. If the mailing address isn't in one of these counties, the request will not be filled.

By submitting this form, you consent to the American Cancer Society’s use and disclosure of the information about you (including protected health information) to provide you with American Cancer Society information and/or services. You have the right to revoke this consent in writing. To the extent applicable, this form complies with the Health Insurance Portability and Accountability Act of 1996 (HIPAA), and a detailed description of our HIPAA policy is available for your review upon your request.