From the Day a Diagnosis of Cancer is Made, Survivorship Begins
Patient & Provider Forms
Forms for Patients
Some forms are multiple pages; please complete all pages.
Forms for Providers
“I Am,” the Women’s Medicine Collaborative cancer survivorship program, is an interdisciplinary, holistic model of care that addresses all facets of a woman’s quality of life.
Our patients tell us: “I am a mother.” “I am a wife.” “I am a neighbor.” “I am a friend.”
We recognize our patients as women living with cancer, and offer individualized care plans to optimize well-being and assist in recovery.
Working in collaboration with the Lifespan Cancer Institute, our multidisciplinary team of caring, experienced providers understands that women with cancer are more than their diagnoses.
- Cancer treatment summary
- Recommendations for cancer surveillance and risk reduction strategies
- Vaccine therapy
- Nutrition counseling
- Exercise recommendations
- Lymphedema therapy
- Counseling for anxiety and depression
- Stress management strategies
- Genetic susceptibility assessment
- Answers to sexuality and reproductive concerns
Our holistic, integrative approach also provides critical services to address a myriad of emotional, psychological and financial challenges. We help many of our patients who have fear of recurrence, depression, problems adjusting to physical changes, employment and insurance issues, and who are facing a sense of loss for what might have been (e.g., loss of fertility).
Our providers work in partnership with Women’s Medicine Collaborative’s Center for Gynecologic Cancers, High-Risk Breast Program, Lifestyle Medicine Center, physical therapy services and women's genetic counseling services.