Be A Buddy

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

Name(Required)

First Last

Email(Required)

Phone(Required)

Why do you want to be a buddy?(Required)

How would your experiences benefit a patient with cancer?(Required)

Which of these are you willing to do?(Required)

Make/receive phone calls to the patient.

Meet in person.

Text messages.

A monthly meet and greet.

Attend doctors visits with those who do not have a support system.

Which cancer do you most relate to? Which cancer do you least relate to?(Required)

How was your experience at Highlands Oncology?(Required)

Who is your doctor?(Required)

What do you expect to get out of being a buddy?(Required)