Date, 2006
Dear Parents of
,
Congratulations! Your child
is a survivor of childhood cancer. To meet the needs of children
like
, we have established a multidisciplinary program. As more and more children have
survived childhood cancer, we have learned a great deal about the potential long term effects of
cancer and its treatment. We are eager to share this information with you.
Once a patient is at least two years off treatment, health concerns shift from focusing on cancer
recurrence to evaluating any effects of cancer and its treatments. The YES Clinic can provide this
comprehensive service for you. The clinic will be held every Friday afternoon. The YES visit will
replace your regularly scheduled yearly oncology appointments, although the clinic is still staffed by
the department of pediatric oncology. This clinic will still be held in the Pediatric specialty clinic area,
but you will notice a distinct change in the focus.
Another important component of this clinic is education. As a survivor of childhood cancer becomes
an adult, they will need to have a complete understanding of their diagnosis and treatment. They
also will need to have a record of any operations, radiation treatments and the names and doses of
drugs given. This is of increasing importance if they move or change doctors. Part of the YES
Clinic’s education program, also includes our presentation regarding cancer prevention and
detection.
During your visit to the YES Clinic, your child will receive a physical examination by a Pediatric
oncologist. Depending on your concerns, the type of illness and therapy
received, you may
see a social worker and various other professionals who can address your family’s concerns. The
schedule is designed specifically to meet your needs. The advantage of the YES Clinic is that a
variety of professionals are available to you on a single day, however please be prepared to spend
the entire afternoon with us. We ask that you please not bring any other children to this
appointment our rooms are very small.
You will also receive a summary of treatment and the clinic evaluation for your records; we will also
forward this information to your primary care provider at your request. Please fill out the enclosed
form and return it to us as soon as possible. You will not be scheduled for an appointment until
you send back the completed questionnaire. If you would like to be seen please call 505-2726418 to schedule and appointment. We look forward to seeing you at YES Clinic soon.
Sincerely,
Moyna A. Robeson
YES Clinic Coordinator
University of New Mexico
Young Enduring Survivors Clinic
(YES!)
Providing Multi-Disciplinary Follow-up for Survivors of Pediatric Malignancies
Are you interested in participating in our clinic?
____________Yes, I am interested. Please send me more information and enroll me/my child in
clinic.
____________I would like to discuss the clinic with someone before enrolling me/my child.
____________No, I am not interested. Reason: _______________________________________
______________________________________________________________________________
______________________________________________________________________________
If you have any particular concerns you would like us to address, please list them below.
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
It is important that you return this form as soon as possible to reserve your spot, as we
schedule the patients on a first come first serve basis.
Please give us your current address, home, and work phone numbers for our records.
Patient’s name:____________________________________________
Parent or guardian’s name (if applicable)_____________________________________
Address:______________________________________________________________
City:____________________ State:________ Zip:_____________________________
Day phone:____________________ Evening phone:___________________________
Insurance_____________________ PCP___________________________________
If you have any questions you would like to discuss, or need to talk to someone, please feel free to
call me. My number is 505-272-4461 or 877-866-7543.
Thank you,
Moyna A. Robeson
YES Clinic Coordinator