Membership in the Phoenix Ostomy Chapter, Inc. provides you with The Phoenix, our chapter newsletter. Please print out the application and mail with your check to the address below. Newsletters are mailed to members and contributors monthly. Inquirers receive 3 complimentary copies, after which we encourage you to join and become a member or make a donation.
HOMEPAGE-PHOENIX OSTOMY CHAPTER
PHOENIX OSTOMY CHAPTER MEMBERSHIP APPLICATON
I have a ___Colostomy___Ileostomy___Urostomy___Continent Ostomy___Other
Reason for surgery_________________________________________________
Date of surgery_____________________Hospital________________
Please make checks payable to:
PHOENIX OSTOMY CHAPTER, INC.