Be a Buddy

If you’re interested in becoming a patient support advocate, fill out the form below and submit.

"*" indicates required fields

Name*

First Last

Email*

Phone*

Why do you want to be a buddy?*

How would your experiences benefit a patient with cancer?*

Which of these are you willing to do?*

What cancer do you relate most to? Which cancer would you relate least to?*

How was your experience at Highlands?*

Who is your doctor?*

What do you expect to get out of being a buddy?*