Educational Materials Order Form
To receive pancreatic cancer educational materials, please complete the form below. All educational materials and services are provided by the Patient and Liaison Services (PALS) program at no charge. Important: If you are a patient or family member needing information, please click here to request a complimentary education packet. The education packet will be MORE HELPFUL than the individual items listed on this page.
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Health Professional Category?
Dietitian Gastroenterologist Medical Oncologist Nurse Radiation Oncologist Social Worker Surgeon Other
How did you learn about Pancreatic Cancer Action Network?
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Description
Educational Materials: (Please indicate the quantity desired for each item.) * In order to continue to offer quality educational material free of charge we may need to limit quantity. Please do not hesitate to reorder if you run out of stock.
Patient and Liaison Services (PALS) Brochure qty
PanCAN OUTREACH - Newsletter qty
Overview of Pancreatic Cancer qty
Información General del Cáncer de Páncreas qty
Clinical Trials qty
Diet and Nutrition qty
La Dieta y Nutrición qty
Hospice qty
Anatomical Illustration Pad in Color qty
How many pancreatic cancer patients do you typically treat per month?
Check here if educational material is for a conference or educational event.
Please provide a brief description of the event.
Check here if this is an annual event.
I am conducting a pancreatic cancer clinical trial. I would like to add or update information about this trial in the Pancreatic Cancer Action Network database.
Check here if you are submitting a change of address.
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If you experience problems submitting this form, please contact webmaster@pancan.org or by calling toll free 877-272-6226. You will receive a response within one business day.
