Get the free Breast & Cervical Health Check - dhss alaska
Show details
This document is a form used for collecting diagnostic evaluation and data regarding breast cancer screening and assessments.
We are not affiliated with any brand or entity on this form
Get, Create, Make and Sign breast cervical health check
Edit your breast cervical health check form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share your form instantly
Email, fax, or share your breast cervical health check form via URL. You can also download, print, or export forms to your preferred cloud storage service.
Editing breast cervical health check online
Use the instructions below to start using our professional PDF editor:
1
Set up an account. If you are a new user, click Start Free Trial and establish a profile.
2
Simply add a document. Select Add New from your Dashboard and import a file into the system by uploading it from your device or importing it via the cloud, online, or internal mail. Then click Begin editing.
3
Edit breast cervical health check. Rearrange and rotate pages, add and edit text, and use additional tools. To save changes and return to your Dashboard, click Done. The Documents tab allows you to merge, divide, lock, or unlock files.
4
Get your file. Select the name of your file in the docs list and choose your preferred exporting method. You can download it as a PDF, save it in another format, send it by email, or transfer it to the cloud.
pdfFiller makes working with documents easier than you could ever imagine. Register for an account and see for yourself!
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.
How to fill out breast cervical health check
How to fill out Breast & Cervical Health Check
01
Obtain the Breast & Cervical Health Check application form from a local health department or online.
02
Fill in your personal information such as name, address, and contact details.
03
Provide your date of birth and health insurance information, if applicable.
04
Indicate if you have had previous screenings and their dates.
05
Specify your reason for requesting the check, such as routine screening or symptoms.
06
Review the completed form for accuracy and completeness.
07
Submit the form by mail or in person to the designated health department.
Who needs Breast & Cervical Health Check?
01
Women aged 40 and above for routine breast and cervical screenings.
02
Women with a family history of breast or cervical cancer.
03
Women experiencing symptoms such as lumps, unusual discharge, or pelvic pain.
04
Women who have not had a screening in the last few years.
05
Low-income or uninsured women who may qualify for free or low-cost services.
Fill
form
: Try Risk Free
People Also Ask about
What test should be done for cervical?
Pap test. During a Pap test, a member of your health care team scrapes and brushes cells from your . The cells are then examined in a lab to check for cells that look different. A Pap test can detect cancer cells in the .
How do they check for a healthy ?
The Pap test (also called a Pap smear or cervical cytology) collects cervical cells so they can be checked for changes caused by HPV that may — if left untreated — turn into cervical cancer. It can find precancerous cells and cervical cancer cells.
What is the test for cervical health?
The HPV test looks for the virus (human papillomavirus) that can cause cell changes on the . The Pap test (or Pap smear) looks for precancers, cell changes on the that might become cervical cancer if they are not treated appropriately.
What is a cancer check called?
Mammography is the most common screening test for cancer. A mammogram is a picture of the inside of the .
What is the and cervical Treatment Act?
In 2000, Congress passed the and Cervical Cancer Prevention and Treatment Act (BCCPTA) (Public Law 106-354). This act authorized states and territories to provide Medicaid coverage as an option for the treatment of women diagnosed through the NBCCEDP with or cervical cancer or precancerous conditions.
What is the one point test for cervical cancer?
The Pap test (or Pap smear) looks for precancers, cell changes on the that might become cervical cancer if they are not treated appropriately.
What are the different types of cervical tests?
Cervical cancer screening is used to find changes in the cells of the that could lead to cancer. Screening includes cervical cytology (also called the Pap test or Pap smear), testing for human papillomavirus (HPV), or both. Most women should have cervical cancer screening on a regular basis.
Who qualifies for every woman count?
Every Woman Counts (EWC) Program Live in California. Have no or limited health insurance. Have health insurance with a co-payment or deductible, they can't afford. Not be eligible for Medi-Cal. Have income up to 200 percent of the federal poverty level. Be at least 40 years of age for a clinical exam and a mammogram.
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.
What is Breast & Cervical Health Check?
Breast & Cervical Health Check is a program designed to provide low-income women access to breast and cervical cancer screenings and diagnostic services.
Who is required to file Breast & Cervical Health Check?
Women who meet specific income and eligibility criteria, typically those with low income who are uninsured or underinsured, are required to file for the Breast & Cervical Health Check program.
How to fill out Breast & Cervical Health Check?
To fill out Breast & Cervical Health Check, individuals must complete an application form that asks for personal information, income details, and insurance status, usually available through program offices or healthcare providers.
What is the purpose of Breast & Cervical Health Check?
The purpose of Breast & Cervical Health Check is to detect breast and cervical cancer at an early stage, when treatment is more likely to be successful, and to provide necessary referrals for treatment.
What information must be reported on Breast & Cervical Health Check?
The information that must be reported includes personal identification details, income level, health insurance status, and any previous history of breast or cervical health issues.
Fill out your breast cervical health check 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.
Breast Cervical Health Check is not the form you're looking for?Search for another form here.
Relevant keywords
Related Forms
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.
