Report: Cancer Diagnosis

The purpose of gathering this information is for independent statistical data collecting and area mapping. No personally identifiable information will be shared on the map. You can possibly still be mapped if the address no longer exists. Please include the Florida address where you lived at the time of diagnosis, and in the notes field tell us how long you lived there if you can. To learn more about why we are collecting self-reported medical information go here or send your questions to

An error occurred. Try again later.

Your report has been submitted.