Membership Application

Download the Application for Appointment (Word).  The application is a Word fill-able form.  You can fill it out directly from your computer, print it out and mail to the following address:

Please return the questionnaire and your resume to:

Neal D. Kohatsu, MD, MPH

Chief, Cancer Control Branch

California Department of Public Health

Cancer Control Branch

c/o Cancer Detection Section

MS 7203

P.O. Box 997377

Sacramento, CA 95899-7377

Telephone: (916) 449-5300

Fax: (916) 449-5310