Clinicians’ Order Form (Bulk orders of TCC’s publications)

(Due to the prohibitive costs of delivery, free publications are only available to Canadian addresses)

Contact Information Salutation First Name Last Name Address 1 Address 2 City Province/State Postal/Zip Code Country Clinical Specialty Person's Name placing the order Office Phone Fax Phone Mobile Phone Primary Email Secondary Email

Publications Ordered Information Card (English) Information Card (French) A Patients Guide to Thyroid Cancer, for those with Papillary or Follicular (English) A Patients Guide to Thyroid Cancer, for those with Papillary or Follicular (French) Low Iodine Diet pamphlet (English) Low Iodine Diet pamphlet (French)

Special Notes or Requests

Note: TCC provides its publications free to Canadian clinicians, for distribution to their thyroid cancer patient community. Although we do not charge a fee for this service, we kindly request that you make a donation to help cover the costs of printing and delivery. Donations by credit card can be made at CanadaHelps.org (enter Thyroid Cancer Canada) or by cheque to:

Thyroid Cancer Canada
PO Box 23007
550 Eglinton Ave. West
Toronto, ON M5N 3A8

For a print copy of this form (suitable for those who wish to accompany their order with a donation cheque), a PDF copy of this form is available here.

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What's New

Thyroid Cancer Canada is having its 10th Anniversary this year! In 10 years we've grown from less than a dozen members to now over 3,000! To learn how we got started, view our history HERE.

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