Get the Healthy Choices for Breast Cancer Patients & Survivors Toolkit

The American Cancer Society and Kohl’s are pleased to offer you the Healthy Choices for Breast Cancer Patients & Survivors Toolkit. The booklet outlines simple steps breast cancer patients and survivors can take to focus on eating healthy and staying active, which can improve their health and reduce their chance of reoccurrence. To encourage physical activity, each booklet comes with a pink pedometer. The toolkit is offered at no cost through the generous donation of Kohl’s.

Please complete this form to receive the Healthy Choices Booklet and pedometer.

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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.