Self-Referral for Patients

The Cancer Society has a range of FREE services available to adults affected by cancer. These services are designed to provide support for patients and their families/supporters through diagnosis, treatment and preparing for life afterwards.

The Cancer Society's services requiring a referral include:

To access the services provided by the Cancer Society, either complete a self-referral form (below), phone the Cancer Society information line (0800 CANCER (226 237)) or ask your health care professional to refer you.

Online self-referral form

Editable/Printable self-referral form

 Self referral image CS services 3