Skip all navigation Skip to page navigation

DHHS Home | Assistance | Divisions | About DHHS | DHHS Contacts

NC Department of Health and Human Services
NC DPH: Chronic Disease and Injury Section
 N.C. Public Health Home
 
 

Breast and Cervical Cancer Control Program

Testimonials

Do you have a story about how North Carolina’s Breast and Cervical Cancer Control Program (NC BCCCP) has helped you or impacted your life in some way? Perhaps you had a cancer diagnosed through the program, maybe enrollment in the program enabled you to receive your first cancer screening or enrollment allowed you to apply for Breast and Cervical Cancer Medicaid (BCCM) to cover your cancer treatment costs. Whatever your story may be, 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
(20 characters max.)
Middle Name: If you can see this field, please leave it blank.
(20 characters max.)

Enter up to 1000 characters.
Characters Remaining =

(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 19, 2021