Form preview

Get the free Breast Cancer Risk Assessment

Get Form
A questionnaire designed to assess an individual's risk of developing breast cancer based on personal and familial health history.
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign breast cancer risk assessment

Edit
Edit your breast cancer risk assessment form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your breast cancer risk assessment form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit breast cancer risk assessment online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use our professional PDF editor, follow these steps:
1
Log in. Click Start Free Trial and create a profile if necessary.
2
Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.
3
Edit breast cancer risk assessment. Rearrange and rotate pages, add new and changed texts, add new objects, and use other useful tools. When you're done, click Done. You can use the Documents tab to merge, split, lock, or unlock your files.
4
Save your file. Choose it from the list of records. Then, shift the pointer to the right toolbar and select one of the several exporting methods: save it in multiple formats, download it as a PDF, email it, or save it to the cloud.
pdfFiller makes dealing with documents a breeze. Create an account to find out!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out breast cancer risk assessment

Illustration

How to fill out Breast Cancer Risk Assessment

01
Gather personal and family medical history, including details about any breast cancer diagnoses.
02
Complete the demographics section, including age, ethnicity, and menstrual and reproductive history.
03
List any previous breast health issues, such as benign breast disease or previous biopsies.
04
Include information on lifestyle factors, such as alcohol consumption, smoking, and physical activity.
05
Note any hormone therapy or contraceptive use, including type and duration.
06
Provide details on genetic testing history, if applicable, such as BRCA mutations.
07
Review and finalize the assessment, ensuring all relevant information is included.

Who needs Breast Cancer Risk Assessment?

01
Individuals with a family history of breast cancer.
02
Women with personal history of breast or ovarian cancer.
03
Those with known genetic mutations associated with breast cancer (e.g., BRCA1/2).
04
Women with a significant amount of breast tissue or other high-risk factors identified.
05
Individuals concerned about their breast cancer risk due to lifestyle or reproductive history.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.5
Satisfied
61 Votes

People Also Ask about

This is a scoring system that has been used for over a decade to calculate a person's risk of developing cancer. It gives two separate risks – one for the risk of developing cancer over the next 10 years, and the risk over lifetime (until age 80).
The symptomatic 2ww standard should ensure that all patients (men and women) with symptoms (where cancer is not suspected) are seen by a specialist within 2 weeks of a referral being received from their GP or other relevant health professional.
This means, that when cancer is first suspected, everyone should have a confirmed diagnosis and start treatment within 62 days. The time that cancer is first suspected could be for example: when you first see your GP and they refer you to a specialist or to have tests.
Receiving a 2 week wait referral It's very important you attend your appointment. If your symptoms get worse while you're waiting, contact the practice immediately or seek urgent help.
The Cancer Risk Assessment Tool (BCRAT), also known as The Gail Model, allows health professionals to estimate a woman's risk of developing invasive cancer over the next five years and up to age 90 (lifetime risk).
The Cancer Risk Assessment Tool (the Gail model) is often used by health care providers to estimate cancer risk. The tool calculates a woman's risk of developing cancer over the next 5 years and within her lifetime (up to age 90).
Use your right hand to examine your left , then vice versa. With the pads of your three middle fingers, press on every part of one . Use light pressure, then medium, then firm. Feel for any lumps, thick spots or other changes.

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

Breast Cancer Risk Assessment is a process used to evaluate an individual's likelihood of developing breast cancer based on various risk factors, including genetic predisposition, family history, and lifestyle choices.
Individuals who have a family history of breast cancer or other risk factors may be required to file a Breast Cancer Risk Assessment, often as part of a medical evaluation or when seeking screening options.
To fill out a Breast Cancer Risk Assessment, individuals typically need to provide personal health information, family medical history, and details about lifestyle factors, following the guidelines or forms provided by healthcare professionals.
The purpose of Breast Cancer Risk Assessment is to identify individuals at high risk for breast cancer, enabling healthcare providers to recommend appropriate preventative measures, screenings, or genetic testing.
The information to be reported on Breast Cancer Risk Assessment includes personal health history, family history of breast and other cancers, age, ethnicity, reproductive history, and any known genetic factors.
Fill out your breast cancer risk assessment online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.