Physician Enrollment Confirmation

The information you have entered has been submitted. Once your information has been verified, a representative from the California Cancer Registry will contact you in one to two business days to setup your account.

Warning : This is a California Cancer Registry system that is for official use by authorized users and is subject to being monitored and/or restricted at any time. Minimum Requirements for access include compliance with the current CCR Information Security Policy, the machine you are using is protected by a firewall, is malware free, has running anti-virus software with current signatures, and any confidential information that you access that is stored on any device or media outside the Registry facilities is in password protected encrypted format. Unauthorized or improper use of this system may result in administrative disciplinary action and/or civil and criminal penalties. By continuing to use this system you indicate your awareness of and consent to these terms and conditions of use. CLOSE THIS PAGE, if you are not an authorized user or you do not agree to the conditions stated in this warning.