Referral

CanCare Centre is a not-for-profit organisation specifically set up to assist Chinese speaking clients who have been diagnosed with cancer and their carers. Services are free and include individual client support, monthly support group meetings, information provision and public information forums.

Referred by

Consent for referral has been obtained from the client
YesNo

Client’s Information

Sex
MaleFemale

Language
CantoneseMandarinOther

Optional Information

Retype the CAPTCHA code from the image
Change the CAPTCHA codeSpeak the CAPTCHA code
 

Download Referral Form