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NC Department of Health and Human Services
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Breast and Cervical Cancer Control Program

Testimonials

Do you have a story about how the NC BCCCP program has helped you or impacted your life in some way? Maybe you had a cancer diagnosed through the program or maybe enrollment in the program enabled you to receive your first cancer screening. Whatever your story is, we want to hear about it.

Please complete and submit the following form to share your NC BCCCP testimonial.

(* Items flagged with an asterisk are required.)

Testimony Submission Form
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(Complete this field if you would like a copy of your testimonial sent to you. You can also obtain a copy by printing the confirmation page which is provided after successful submission of your testimony.)

reCAPTCHA Instructions, Disclaimer, and Overview

Instructions

To finish submitting your feedback, please complete the reCAPTCHA challenge above (if displayed) and then press the button to submit the form.

Overview

Why are you being asked to complete the reCAPTCHA challenge? The reCAPTCHA helps identify the user as a human.

Where can I find more information? Visit Google's reCAPTCHA page or their related blog post.

Disclaimer

The Breast and Cervical Cancer Control Program has no control over the images/words displayed in the reCAPTCHA. BCCCP does not endorse or adhere to views or opinions expressed or perceived by any of the images/words in the reCAPTCHA tool. BCCCP undertakes no responsibility to update or review any reCAPTCHA.

If you do not agree with the use of the reCAPTCHA or if you find reCAPTCHA words offensive, you may contact us to arrange another way of submitting your feedback.


 


 

 

 

 

NCDHHS

Updated: March 12, 2018