Survivors Tote

The River Valley Ovarian Cancer Alliance offers newly diagnosed ovarian cancer patients a Survivor Tote which includes educational information and materials offering support, resources, and comfort during a confusing, troublesome, and often frightening time in their lives.

If you are a newly diagnosed ovarian cancer patient and have not received a Survivor Tote from your treating physician,
fill out the form below to request one.

Bag and contents may vary.

    First & Last Name (Required)

    Email Address (Required)

    Phone Number

    Street Address (Required)

    City (Required)

    State (Required)

    Zip Code (Required)

    Date of Diagnosis (Required)

    If This Tote is for Someone Other Than Yourself, Please Provide the Survivor's Information Here

    [recaptcha]