Membership Application

Download the Application for Appointment (PDF).  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
California Department of Public Health
Cancer Detection Section
MS 7203
P.O. Box 997377
Sacramento, CA 95899-7377
Telephone: (916) 449-5300
Fax: (916) 449-5310