1 Email Intake Form

Collection of Customer Service, Demographic and Smoking/Tobacco Use Information from NCI's Contact Center, Cancer Information Service (CIS) Clients (NCI)

Appendix 2 Email Intake Form on Cancer.gov

OMB: 0925-0208

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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleAPPENDIX 2
SubjectEMAIL INTAKE FORM on CANCER.GOV
AuthorBurstyn, Ilene (NIH/NCI) [E]
File Modified0000-00-00
File Created2025-07-31

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