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Thank you for helping us spread smiles! Our Smile Packages are personalized care gifts designed to bring joy and comfort to those battling cancer. Please provide as much detail as possible so we can create the best custom package for your nominee.

Cancer Patient's Full Name*

Patient's Age*

Patient's DIagnosis*

Patient's Email Address*

Patient's Phone Number*

Patient's Address*

Patient's Favorite Art

Patient's Favorite Book Genre

Patient's Favorite Music

Patient's Favorite Sports

Patient's Favorite Gaming/Technology

Patient's Favorite Outdoor Activities

Patient's Favorite Movie/TV Shows

Patient's Shoe Size

Patient's Favorite Color

If they could have something just for them, what would it be? (e.g., concert tickets, a tablet, a special activity, gear for a hobby)

Tell us a little about why you’re nominating this person and how a Smile Package could brighten their day:

Your Full Name and Relationship to Patient*

Your Phone Number*

Your Email Address*

Would you be willing to share a photo or story of the recipient receiving their Smile Package? Picture can be emailed to sundee@wynmedical.com

Cancer Patient Nomination Form

Thank you for helping us keep Alec’s mission alive and making a difference, one smile at a time! 💛

Contact Us

Reach out to us to learn more about how we spread smiles to cancer patients and support their journeys.

Location

4272 W 1700 S
Syracuse, Utah 84075

Email

sundee@wynmedical.com

Email

801-455-3151

Hope

Spreading smiles to cancer patients in need.

Support

sundee@wynmedical.com

801-455-3151

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General Contact Form

Cancer Patient Nomination Form

Contact Us

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Email

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General Contact
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