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cancer rehab

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help someone

patients,
friends & family

PINC & STEEL is more than just helping people after cancer, it is about giving hope, strength and courage.

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physios &
professionals

PINC & STEEL is more than just helping people after cancer, it is about giving hope, strength and courage.

CONTINUE

Registration Form

Please complete the registration form below. On completion, you will receive an email that will have the contact information of your local certified PINC & STEEL Cancer Rehab Physiotherapist.

Street address*

First Name*

Last Name*

Age

Ethnicity

Email Address*

Phone Number*

Additional information

Oncology History

Diagnosis

Diagnosis Date

Type of Surgery

Main reason for enquiry

Already connected to a Physiotherapist and Clinic

Name of Physiotherapist

Name of Clinic

If you do not have a Physiotherapist or Clinic, please write NONE above

Contact Us

If you have any questions, please click here to contact us.

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