Cancer Plan Implementation Reporting
Thank you for your implementation project submission! Your information is valuable for the annual reporting of the CA Comprehensive Cancer Program (CCCP). To ensure accuracy, please provide thorough details. Due to the limitations of the survey tool, we kindly request that you complete a separate form for each project you are reporting. If your project encompasses multiple chapters from the State Cancer Plan, please fill out a new form for each chapter. This will ensure the accurate information captured for each State Cancer Plan chapter.

Please complete this form per project and/or cancer plan chapter aligning with the 2021-2025 State Cancer Plan objectives. If you have any questions about this form please contact us at cdocshare@gmail.com. Thank you! 
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How have you utilized any of the information from the 2021-2025 state cancer plan to inform your efforts? *
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