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After Completion of Therapy (ACT) Clinic


What is the After Completion of Therapy Clinic?

The After Completion of Therapy (ACT) Clinic is for long-term survivors of childhood cancer who have been treated at St. Jude. The goal of the clinic is to help survivors stay healthy. During your check-up, the ACT Clinic staff will talk to you about your progress. They also check for problems that can happen after cancer treatment.

After I am transferred into the ACT Clinic, when will I have my first visit?

You can expect to return to St. Jude one (1) year after your transfer to the ACT Clinic. About 3 months before your visit, you should receive an appointment card. You will also receive a letter that explains important details about your upcoming visit. The letter will give you the dates and times of your screening tests.

What can I expect at my first ACT visit?

A doctor and nurse practitioner will review your past treatment and discuss any current problems or health concerns you may have. You will be asked to complete a number of questionnaires to help the ACT team learn more about you, your health, and how past cancer treatment may impact your health. You will have a blood test and sometimes other testing based on your current needs and past treatment. You will also be scheduled to talk with a social worker. This staff member can advise you on insurance, school, work, or other social questions you may have. Based on the type of cancer you had and your past treatment, you may also need to visit other specialty clinics.

Who takes care of my medical needs before I come back to St. Jude as an ACT patient?

Before the first ACT Clinic visit, you should contact the clinic where you received your treatment if you develop medical problems that are related to your cancer. The clinic where you received your treatment is also responsible for refilling all cancer-related prescriptions and scheduling outside specialty appointments. For medical problems not related to your cancer, you should always contact a local primary care provider.

After you have had your first appointment in the ACT Clinic, you should always call your local doctor first if you are injured or sick. If your problem is related to your cancer or to a late effect of cancer treatment, your doctor should call the ACT Clinic at 901-595-3658. The ACT staff can work with your doctor to coordinate your care and, if needed, move up your follow-up visit in the ACT Clinic.

Who takes care of my medicine refills?

The staff of the clinic that first prescribed your medicines should arrange your refills until you have your first ACT visit. After your first ACT Clinic visit, the ACT staff or an approved St. Jude specialty doctor will take care of prescribing your cancer-related medicines. Your primary care provider will prescribe any other medicines you may need.

How long will I be an ACT patient?

ACT patients come to St. Jude for checkups one (1) time a year until they are 18 years old or until they have been off therapy for 10 years, whichever comes later. At that time, ACT patients graduate and become St. Jude alumni. Also, the St. Jude Cancer Registry will contact you once a year to check how you are doing and to see if you have had any cancer-related late effects.

What if I need to reschedule my ACT Clinic visit?

To change the date of your visit or to check the date, please call 901-595-4680 during clinic hours. The ACT Clinic is open Monday through Friday, 9 a.m.–4 p.m. If you are outside the Memphis area, dial toll-free 1-866-2STJUDE (1-866-278-5833) extension 4680.


This document is not intended to take the place of the care and attention of your personal physician or other professional medical services. Our aim is to promote active participation in your care and treatment by providing information and education. Questions about individual health concerns or specific treatment options should be discussed with your physician.

St. Jude complies with health care-related federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

ATTENTION: If you speak another language, assistance services, free of charge, are available to you. Call 1-866-278-5833 (TTY: 1-901-595-1040).

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-866-278-5833 (TTY: 1-901-595-1040).

تنبيه: إذا كنت تتحدث باللغة العربية فيمكنك الاستعانة بخدمات المساعدة اللغوية المتوفرة لك مجانا. .يرجى الاتصال بالرقم. 5833-278-866-1  (الهاتف النصي: 1040-595-901-1).