Membership Application

Download the Application for Appointment.  The application is a Word fill-able form.  You can fill it out directly from your computer, print it out and mail to the following address.

Please return the questionnaire and your resume to:

ATTN: Section Chief
Department of Health Care Services
Cancer Detection and Treatment Branch
MS 7203
P.O. Box 997377
Sacramento, CA 95899-7377
Telephone: (916) 449-5300
Fax: (916) 449-5310