Self-refer today!

Whether you have been diagnosed with an upper gastrointestinal (GI) cancer or are caring for someone who has, Pancare is here to support you. Support is free, self-refer today.

Self-referral for patients and carers

Upper gastrointestinal (GI) cancers include pancreatic, liver, oesophageal, stomach, and biliary cancers. If you are a patient or carer impacted by upper GI cancer, we're here for you every step of the way.

Our team can help you:

• understand your diagnosis

• understand your treatments and side effects

• access support groups

• access financial assistance

• receive expert care navigation

• access information you can trust

If you are a new patient or carer looking for support, please complete the self‑referral form below. Alternatively, you can call us on 1300 881 698 and talk to a member of our support team if you prefer.

We will be in touch as soon as possible to offer support.

Title

Your First Name

Your Last Name

Your Date of Birth

Your Email

Your Postcode

Your Phone Number

Your Gender

Are you a patient, carer or other

Please tell us the type of upper gastrointestinal cancer (if known)*

Year of Cancer Diagnosis

Country of birth

Main/preferred language spoken at home

Will an interpreter be required?

Yes

Are you Aboriginal and or Torres Strait Islander?

Aboriginal

Torres Strait Islander

Both Aboriginal and Torres Strait Islander

Self-identified culture/ethnicity

How can we help you?

What’s a good day and time for us to call you?

How did you hear about us?

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