Member/Patient Assessment Form

Kindly fill the form below and make the payment of 20,000 naira using any of the options below

Medical Profile

 ARCF can help to carryout priliminary examination with a little charge, or work with your previous medicalrecord from a government approved health organization.


Payment Options (N20,000)

Kindly make the payment of N20,000 to process your form

BANK TRANSFER  (Kindly make payment into the bank below)

ACCOUNT NAME:       AFRICA CANCER RESCUE FOUNDATION

BANK NAME:                FIRST BANK PLC

ACCOUNT NUMBER: 2029922219

AMOUNT:                         #20,000 (TWENTY THOUSAND NAIRA ONLY)