New Client Registration

Services
New Client Registration Form

*If using a wheelchair, someone must accompany you who can lift the wheelchair and provide support


ACCOMMODATIONS


LANGUAGE

The Cancer Assistance Program utilizes an over the phone interpretation service to better serve our communities. If you would like to use this service when communicating with CAP, please provide the language below. 


CLIENT INFORMATION


ALTERNATE CONTACT INFORMATION


SERVICE CRITERIA


TRANSPORTATION

Our Drive and Ride program is available only to residents in the Greater Hamilton Area.

We apologize for any inconvenience.


*If using a wheelchair, someone must accompany you who can lift the wheelchair and provide support