The Adolescent and Young Adult (AYA) Program at Moffitt Cancer Center accepts physician referrals for patients aged 15 to 39 who are living with cancer, and younger teens in select cases. Our physicians have treated thousands of patients in this age group and are specifically trained to do so. Led by Damon Reed, MD, Moffitt’s AYA oncology specialists provide medical and psychosocial clinical care to address the unique concerns and emotional needs of adolescent and young adult cancer patients, which often differ markedly from those of their younger and older counterparts.

The benefits of Moffitt’s AYA program

Moffitt’s AYA Program was established to create Florida’s first – and only – dedicated clinical environment for adolescent and young adult cancer patients, including access to cooperative studies and patient-speciﬁc therapies, as well as support groups with social workers and psychologists. More precisely, Moffitt’s AYA oncology specialists help our young patients:

Access the latest treatment options, including cutting-edge clinical trials
Manage the emotional toll of cancer
Learn about sexual health, intimacy needs, fertility preservation and family planning
Address family, work, school and financial issues related to cancer and its treatment
Connect with others who are facing similar situations

Pediatric affiliation

The pediatric Hematology and Oncology Department at Johns Hopkins All Children's Hospital is a pediatric affiliate for Moffitt Cancer Center. Moffitt AYA physicians see younger pediatric patients on the main Johns Hopkins All Children's campus in St. Petersburg, Florida. The Moffitt AYA program continues to collaborate with Johns Hopkins All Children's Hospital in a variety of ways, including several ongoing research collaborations and multiple physicians with clinical privileges at both facilities.

Connecting young cancer patients

Additionally, Moffitt is the only cancer center in the state of Florida that has a specialized AYA lounge. Open 24/7, our state-of-the-art Adolescent and Young Adult (AYA) Lounge provides adolescent and young adult patients – as well as their families and friends – with a comfortable place to get together and talk, watch movies, play games, review educational resources or simply relax. The architecture, interior design and overall vibe of the lounge were precisely developed based on input from adolescent and young adult cancer patients in collaboration with Teen Cancer America.

If you are a health care provider who would like to refer a patient to Moffitt’s AYA oncology specialists, complete our online form or contact a physician liaison for assistance or support. Moffitt continues to transform the lives of teens and young adults with cancer.

Adolescent Young Adult (AYA) Program

Adolescent Young Adult (AYA) Oncology Specialists

Patient First Name:
Patient Last Name:
Patient Date of Birth:
Patient Phone Number:
Patient Alternate Phone Number:
Patient Email Address:
Patient Street Address:
Patient State:
Patient Zip Code:

Patient Primary Insurance:
Insurance Policy ID Number:
Is the Patient the Policy Holder:
Policy Holder First Name:
Policy Holder Last Name:
Policy Holder Date of Birth:
Relationship to Policy Holder:
Policy Holder Gender:
Does the patient have secondary insurance?
Secondary Insurance Plan Name:
Secondary Insurance Policy Number:
Patient's Employer:

Why is this patient being referred to Moffitt?
Has patient received cancer diagnosis?
Current Diagnosis
What type of treatment might the patient need?
What type of screening or prevention does the patient need?
Comments for scheduler:
Preferred location:
Moffitt provider referring to:

Referring Physician First Name:
Referring Physician Last Name:
Referring Physician NPI Number:
Referring Physician Specialty:
Referring Physician Email:
Referring Physician Phone Number:
Referring Physician Alternate Phone Number:
Referring Physician Fax Number:
Participate with Moffitt's Strategic Alliances Nursing?
Full name of contact submitting form:
Email of contact submitting form:

AYA Care Team

You can refer a patient directly to an Adolescent & Young Adult Cancer Specialist.

Healthcare Professional Referral Form

Patient Information

Patient Insurance Information

Patient Health & Appointment Information

Referring Provider Information

Confirm & Submit Referral

Patient Contact Information

Patient Insurance Information

Patient Appointment Information

Referring Physician Information

AYA Care Team

You can refer a patient directly to an Adolescent & Young Adult Cancer Specialist.

Healthcare Professional Referral Form

Patient Information

Patient Insurance Information

Patient Health & Appointment Information

Referring Provider Information

Confirm & Submit Referral

Patient Contact Information

Patient Insurance Information

Patient Appointment Information

Referring Physician Information

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