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Lung Cancer Program Appointment Request

To begin the appointment process, fill out the following form. After completing and submitting this form, one of our clinical care specialists will call you on the next business day after receiving your request. If after viewing this form you decide that you prefer to speak with one of our care coordinators please call 801-587-4470.

Please note that we are currently not scheduling appointments for 2nd opinions at this time. A 2nd opinion is considered to be anyone who has already seen an oncologist and received treatment.

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*Newly Diagnosed
Recurrence
Second Opinion
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CT PET scan
Chest X-ray
Brain MRI
Chest CT scan
Abdomen CT scan
Pelvis CT scan
Biopsy
None
Other
Yes
No