The information provided will be used to create your profile on our members-only networking directory. Name* First Last Email* Enter Email Confirm Email Password* Enter Password Confirm Password Strength indicator Work Phone Number Display phone number in Member Directory Credentials Title Department Profile Photo* Drop files here or Select files Max. file size: 120 MB, Max. files: 1. Organization*Select Your OrganizationMy organization is not listedAbbVieABCD: After Breast Cancer DiagnosisAccess Community Health CentersAdvancing a Healthier Wisconsin EndowmentAha! Empowered Wellness CenterAltcare Health ServicesAmerican Cancer SocietyAmerican Cancer Society Cancer Action NetworkAmerican Childhood Cancer OrganizationAmerican Indian Cancer Foundation (AICAF)American Lung Association in WisconsinAmplity-NovAppleton Health DepartmentAscension Wisconsin - Cancer CareAscension Wisconsin - Ministry Health CareAscension Wisconsin - St. Elizabeth HospitalAshland County Health & Human ServicesAspirus Wausau HospitalAstellasAstraZenecaAurora Health CareBarron County Health & Human ServicesBayfield County Health DepartmentBellin HealthBeyond Pink FoundationBreast Cancer Family FoundationBreast Cancer RecoveryBristol-Myers SquibbBureau of Community Health PromotionCancer Center of Western WisconsinCaris Life SciencesCenter for Patient PartnershipsCenter for Urban Population HealthCentral Wisconsin Health PartnershipCervivorChildren's Health Alliance of WisconsinChix 4 a Cause LTDCity of Franklin Health DepartmentCity of Milwaukee Health DepartmentCity of Wauwatosa Health DepartmentCommunity Action for Healthy Living, Inc.Community AdvocatesCondict, Inc.Covering WisconsinCutting Edge Health TeamCynthia's Breast Cancer Giving CircleDecipher BiosciencesEau Claire City County Health DepartmentEisai, IncExact SciencesFond du Lac County Health DepartmentForest County Potawatomi CommunityFox Valley Advance Care Planning PartnershipFroedtert & the Medical College of WisconsinGeneLaw Consulting LLCGenentechGerald L. Ignace Indian Health CenterGilda's Club MadisonGileadGreat Lakes Inter-Tribal Epidemiology CenterGreater Richland Area Cancer Elimination (GRACE)Green Bay OncologyGreen Lake County Department of Health & Human ServicesGundersen Health SystemGW Cancer CenterHealth MonitorHoly Family Memorial Cancer CenterHSHS Division - Eastern WisconsinHSHS Sacred Heart HospitalHSHS St. Vincent HospitalIncyteIron County Health DepartmentJackson County Department of Health and Human ServicesJanssen Oncology/Johnson and Johnson Healthcare Services, Inc.Juneau County Health DepartmentJustice for a CureLa Crosse Area Family YMCALa Crosse County Health DepartmentLakeshore Community Health CareLanglade County Health DepartmentLeukemia & Lymphoma SocietyLung Cancer Research FoundationManitowoc County Health DepartmentMarathon County Health DepartmentMarquette County Health DepartmentMarquette University College of Nursing Institute for Palliative and End of Life CareMarshfield ClinicMarshfield Medical Center - Beaver DamMayo Clinic Health System - Franciscan HealthcareMcDowell Capitol ConsultingMedical College of WisconsinMember Representative At-LargeMerckMercyhealthMilwaukee Consortium for Hmong HealthMinistry Saint Joseph's HospitalMod9AdminMonroe County Senior ServicesMorgridge Institute for ResearchNatera OncologyNew York State Department of HealthNo Stomach For CancerNortheast Wisconsin Area Health Education CenterNorthwest Wisconsin Cancer CenterNovartis PharmaceuticalsOconoto County Health and Human ServicesOneida County Health DepartmentOpen CaregivingOutagamie County Public Health DivisionOutreach Community Health CentersPfizerPierce County Public Health DepartmentPlanned Parenthood of Wisconsin, Inc.Portage County Health and Human ServicesProgressive Community Health CentersProHealth CarePublic Health Madison and Dane CountyRed Cliff Community Health CenterRichland County Health and Human ServicesRigelRock County Cancer Coalition, IncRural Wisconsin Health CooperativeSanofi GenzymeScenic Bluffs Community Health CentersScenic Rivers Area Health Education Center (AHEC)Scott Consulting PartnersSheboygan County Cancer Care FundSide Effect Support LLCSixteenth Street Community Health CentersSoutheastern Wisconsin Oncology Nursing SocietySSM HealthSt Mary's Hospital JanesvilleSt. Croix County Health and Human Services/Public HealthStockbridge Munsee CommunitySusan G. Komen WisconsinThedaCare Cancer CareTriage CancerTricia's Troops Cancer ConnectionTurville Bay MRI & Radiation Oncology CenterUnited States Senate - Office of Senator Ron JohnsonUniversity of Wisconsin - Department of Family Medicine & Community HealthUniversity of Wisconsin - Department of Obstetrics and GynecologyUniversity of Wisconsin - Department of Population Health SciencesUniversity of Wisconsin - Green BayUniversity of Wisconsin Carbone Cancer CenterUniversity of Wisconsin Center for Tobacco Research and InterventionUniversity of Wisconsin Health Breast CenterUniversity of Wisconsin Medical FoundationUniversity of Wisconsin Milwaukee College of NursingUniversity of Wisconsin Population Health InstituteUniversity of Wisconsin-Department of DermatologyUntitled_19Untitled_20Untitled_21Untitled_22Untitled_23Untitled_24Untitled_25Untitled_26Untitled_27Untitled_28Untitled_29Untitled_30Untitled_31Untitled_32Untitled_33Untitled_34Untitled_35Untitled_36Untitled_37Untitled_38Untitled_39Untitled_40Untitled_41Untitled_42Untitled_43Untitled_44Untitled_45Untitled_46Untitled_47Untitled_48Untitled_49Untitled_50Untitled_51UW Extension - Green Lake CountyUW Health and UW School of Medicine and Public HealthVitas Health Care, Inc.Waushara County UW-ExtensionWinnebago County Health DepartmentWisconsin Alcohol Policy ProjectWisconsin Alliance for Women's HealthWisconsin Association of Free & Charitable ClinicsWisconsin Association of Hematology & Oncology (WAHO)Wisconsin Breast Cancer CoalitionWisconsin Cancer CollaborativeWisconsin Cancer Reporting SystemWisconsin Cancer Risk Program NetworkWisconsin Department of Employee Trust FundsWisconsin Environmental Public Health Tracking ProgramWisconsin Genetic Counselors AssociationWisconsin Health LiteracyWisconsin Immunization ProgramWisconsin Indianhead Technical CollegeWisconsin Medical SocietyWisconsin Nurses AssociationWisconsin Primary Health Care AssociationWisconsin Public Health AssociationWisconsin Radon ProgramWisconsin State Laboratory of Hygiene/University of Wisconsin-MadisonWisconsin Tobacco Prevention and Control ProgramWisconsin Well Woman ProgramWisconsin Women's Health FoundationWood County Health DepartmentOrganization Name* Address Line 1* Address Line 2 City* State* Zip Code* Website* Type of Organization*SelectAffiliate with National Non-ProfitBusinessCommunity-based Organization/Non-ProfitFederally Qualified Health CenterHealth SystemHospiceLocal CoalitionLocal Public Health DepartmentMember OrganizationPharmaceutical CompanyProfessional/Trade AssociationState Agency/ProgramTribalUniversityOtherOther Organization Type* Organization DescriptionOrganization MissionOrganization Size*1-1011-5051-100101-500500+OtherOther Organization Size* Which populations does your organization serve?* All Populations Select Populations Select Populations*Please select all that apply African American American Indian/Alaska Native Asian/Pacific Islander White Hispanic/Latino LGBTQ+ People with Disabilities Rural Urban Survivors Patients diagnosed with cancer Youth Adults Seniors Non-native speaking groups Immigrant populations Patients on medicare/Medicaid or Uninsured Behavioral health Justice involved Other Other Populations* Which counties does your organization serve?* All Wisconsin Counties Select Counties Select Counties*AdamsAshlandBarronBayfieldBrownBuffaloBurnettCalumetChippewaClarkColumbiaCrawfordDaneDodgeDoorDouglasDunnEau ClaireFlorenceFond du LacForestGrantGreenGreen LakeIowaIronJacksonJeffersonJuneauKenoshaKewauneeLa CrosseLafayetteLangladeLincolnManitowocMarathonMarinetteMarquetteMenomineeMilwaukeeMonroeOcontoOneidaOutagamieOzaukeePepinPiercePolkPortagePriceRacineRichlandRockRuskSaint CroixSaukSawyerShawanoSheboyganTaylorTrempealeauVernonVilasWalworthWashburnWashingtonWaukeshaWaupacaWausharaWinnebagoWoodWhich populations do you primarily work with?* All Populations Select Populations Select Populations*Please select all that apply African American American Indian/Alaska Native Asian/Pacific Islander White Hispanic/Latino LGBTQ+ People with Disabilities Rural Urban Survivors Patients diagnosed with cancer Youth Adults Seniors Refugees Non-native speaking groups Immigrant populations Patients on medicare/Medicaid or Uninsured Behavioral health Justice involved Other Other Populations* Which counties do you work in?* All Wisconsin Counties Select Counties Select Counties*Please select all that applyAdamsAshlandBarronBayfieldBrownBuffaloBurnettCalumetChippewaClarkColumbiaCrawfordDaneDodgeDoorDouglasDunnEau ClaireFlorenceFond du LacForestGrantGreenGreen LakeIowaIronJacksonJeffersonJuneauKenoshaKewauneeLa CrosseLafayetteLangladeLincolnManitowocMarathonMarinetteMarquetteMenomineeMilwaukeeMonroeOcontoOneidaOutagamieOzaukeePepinPiercePolkPortagePriceRacineRichlandRockRuskSaint CroixSaukSawyerShawanoSheboyganTaylorTrempealeauVernonVilasWalworthWashburnWashingtonWaukeshaWaupacaWausharaWinnebagoWoodYour Region*Please select the region where your office is located. If you work for a statewide organization, please select the specific region where you are located. Hover over each region to see the included counties: Southern Region Southeastern Region Northeastern Region Western Region Northern RegionSoutheasternSouthernNorthernWesternNortheasternWhich Priorities of the Wisconsin Cancer Plan 2020-2030 are you currently working on?Please select your Priorities from the menu below. Select all that apply. Chapter 1: Health Equity- Priority 1: Increase capacity to reduce the burden of cancer for everyone.- Priority 2: Increase the number of Wisconsinites with access to quality health care.- Priority 3: Increase and prioritize health improvement approaches that engage, center, and benefit populations and communities at highest risk of health-related inequities.Chapter 2: Risk Reduction- Priority 1: Decrease tobacco use and exposure to tobacco.- Priority 2: Increase physical activity and healthy eating.- Priority 3: Decrease excessive alcohol consumption.- Priority 4: Increase cancer prevention vaccine completion.- Priority 5: Decrease exposure to ultraviolet radiation.- Priority 6: Decrease exposure to radon.Chapter 3: Early Detection and Screening- Priority 1: Increase awareness and demand for recommended cancer screenings.- Priority 2: Implement health care systems-level strategies to increase recommended cancer screenings and diagnostic services.- Priority 3: Increase access to recommended cancer screenings.- Priority 4: Increase utilization of cancer genetic risk assessment and counseling.Chapter 4: Treatment- Priority 1: Increase availability and access to quality cancer care.- Priority 2: Increase availability and access to palliative care early and throughout treatment.- Priority 3: Increase patient and caregiver access to non-clinical support services, including care coordination, patient navigation, psychosocial support, and rehabilitation services.- Priority 4: Increase participation in clinical trials.- Priority 5: Increase the number of advance care planning conversations for all cancer patients early in their treatment.Chapter 5: Survivorship- Priority 1: Increase awareness of issues relevant to cancer survivors and caregivers.- Priority 2: Increase the implementation of best practices for the transition from active treatment to post-treatment care.- Priority 3: Increase provider, patient, and caregiver awareness of the importance of cancer risk reduction behaviors and cancer screening for cancer survivors.Chapter 6: End of Life- Priority 1: Increase availability and access to palliative medicine during end-of-life care.- Priority 2: Increase access to quality end-of-life care.Chapter 7: Data- Priority 1: Promote awareness and use of the Wisconsin Cancer Reporting System's data.- Priority 2: Improve Wisconsin-specific cancer-related data sources.- Priority 3: Monitor data related to emerging cancer issues.
