Welcome to the Bermuda Cancer and Health Centre

Please fill in your details and you'll be taken to the appointment page

First Name *

Last Name *

Middle Initial

House Name / Number *

Street *

Street Line 2

State

Province or Parish

Zip Code *

Country *

Home Phone Number *

Work Phone Number

Cell Phone Number

Date of Birth : Day

Employer

Email Address *

Doctor/Physician

Gynecologist

No one will be turned away due to lack of ability to pay. Please write N/A if these questions are unknown.

Insurance Company *

Group/Policy No.

Certificate No.

Age Subsidy (65+) (Certificate of Entitlement) No.

If you have questions about cancer, we have answers:

Make a Donation to the Bermuda Cancer and Health Centre