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2024 Community Cancer Assessment

Seneca County General Health District is currently performing a cancer assessment of the city of Fostoria and Loudon, Big Springs and Jackson townships in Seneca County. Washington and Biglick townships in Hancock County, and Perry Township in Wood County also are part of the cancer assessment.

If you or a family member has been diagnosed with cancer in the last three (3) years, and you reside or resided in the city of Fostoria or Loudon, Big Springs, Jackson, Washington, Biglick or Perry townships at the time of your diagnosis, please fill out the online form below.  Or you may also print the form and mail it to: Seneca County General Health District, 92 E. Perry St., Tiffin Ohio, 44883. Printed forms are available for pick up at the health district’s Tiffin location, 92 E. Perry St., and Fostoria location, 801 Kirk St.

Online Form – Ohio Community Cancer Concerns Reporting Form

To report a cancer concern, please fill out the following form and allow 10 business days for someone to contact you to obtain additional information.

Please note: All fields marked with an * are required.

Ohio Community Cancer Concerns Reporting Form
Are you filling out this form for yourself or on behalf of someone else?
Address at Diagnosis
Address at Diagnosis
City
State/Province
Zip/Postal

Contact

Office Location
Health Planning & Promotion Division
92 E. Perry Street
Tiffin, OH 44883

Hours
Monday – Friday
8:00 AM – 4:00 PM

Phone
(419) 447-3691

Resources

Ohio Department of Health (ODH):

Centers for Disease Control and Prevention (CDC):