BCCHP Contact Form

Use this form to contact the Breast, Cervical and Colon Health Program team at the Department of Health. If you are a patient, or contacting us on behalf of a patient, who has questions about enrolling in the program, please reach out to the Prime Contractor who serves your county. Prime Contractor contact information can be found on the BCCHP Enrollment page. Please do not send us any sensitive personal or health information using this form.