If you know a Cancer Patient and would like to refer them, please fill out the form below and click on SUBMIT, or you can call the Cancer Ministry line at 678-501-6462, leave a message, and one of our leaders will get back to you.

We do not contact potential Care Receivers unless you are a Medical referring party, or
family member, and certify by submitting this form that you have the potential Care Receivers' permission to do so.

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