Order Materials

Please use this form to order copies of the Patient Legal Handbook.

Name*
First Last
Professional Title
Name of Facility or Organization*
Shipping Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
How Many Copies of the Patient Legal Handbook in English Would You Like?*
Please request in multiples of 100.
How Many Copies of the Patient Legal Handbook in Spanish Would You Like?*
Please request in multiples of 100.
Additional Delivery Instructions, if any:
How did you hear about the Patient Legal Handbook?
Please note, this form is for bulk orders only. To download an individual copy, please visit https://thedrlc.org/cancer/publications-webinars/patient-legal-handbook