Request Your FREE Colon Cancer Test Kit
Please complete the form below to request your Fecal Immunochemical Test (FIT) and a representative from Southern Seven Health Department (S7HD) will contact you soon. This FREE test is available through S7HD to residents age 45-75 of Alexander, Hardin, Johnson, Massac, Pope, Pulaski, and Union Counties in Illinois. Test does not require a prescription, prep, or dietary restrictions to complete. For more information contact S7HD at 618-634-2297, ex. 971161.
Full Name
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First Name
Last Name
Birthdate:
Age
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Address
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Do you have a family history of colon cancer that you know of?
Yes
No
Have you had a colonoscopy within the last 10 years?
Yes
No
How did you learn that Southern 7 Health Department offered this test?
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