Registration - Complementary Cancer Care

Welcome! Please create an account to register for our Online Classes.

You do not need to register to attend our Support Group Meetings.

First Name *

Last Name *

Username *

Phone Number *

Address

City, State *

User Email *

Confirm Email *

User Password *

Confirm Password *

Yes! I would like to receive your Newsletters.

Yes
No, Thanks

My Medical Team is from (caregivers, please reply for your loved ones) *

Cancer Care Centers of Brevard
Health First Medical Group
Parrish Medical Center
Other

Notes

Medical Waiver for Mind-Body Classes *

I AGREE. I am signing that I have read and agree to the medical waiver below.

I understand that proper care shall be taken for my safety and well-being; I also understand that I am responsible for adjusting my practice to avoid injury. I assume all risk of damage or injury that may occur to me as a student by participating in the Mind-Body Classes. I release and discharge Complementary Cancer Care, Inc. and any of the Instructors from any claims, damages, demands, and actions of any nature that result from my participating in these classes.

Disclaimer of Medical Advice:

Complementary Cancer Care Disclaimer of Medical Advice: You understand and acknowledge that all users of this website and/or attendees of group activities are responsible for their own medical care, treatment, and oversight. All of the content provided on the website and during group activities are for informational purposes only, DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. PLEASE DISCUSS WITH YOUR ONCOLOGIST BEFORE STARTING ANY NEW COMPLEMENTARY CARE.