Get Shell Center Of Excellence

Filling out the Shell Center Of Excellence enrollment form is a crucial step for eligible participants seeking benefits under the Cancer Manager Program. This guide provides you with a straightforward and supportive approach to successfully complete the online form.

Follow the steps to complete the enrollment form for the Cancer Manager Program.

1. Press the ‘Get Form’ button to access the enrollment form and open it for completion.
2. Begin by entering your legal name in the designated field on the form, ensuring that it matches your official identification documents.
3. Select your eligibility type from the provided options, indicating whether you are an active employee, a retiree, or a dependent.
4. In the appointment request section, specify the type of appointment you are seeking and mention any personal history of cancer if applicable.
5. Choose your preferred prevention screening services from the list provided, understanding that you can select multiple services and that requests may affect appointment scheduling.
6. Utilize the comments section for any additional information regarding personal or family medical history related to cancer that may assist in your appointment.
7. Before submitting your form, carefully review all entered information to confirm accuracy and completeness.
8. Click the submit button to finalize your enrollment, or alternatively, return the completed form to the provided fax number.
9. After submission, you can save any changes, download, print, or share the form as necessary for your records.

Begin your enrollment process online today to access comprehensive cancer management services.