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Beaumont Cancer Genetics Program Phone: 2485513388 Fax: 2485518437 INITIAL CLINIC QUESTIONNAIRE **Please mail or fax completed questionnaire at least 2 weeks prior to your appointment** Today's Date
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Start by gathering all necessary personal information, such as your full name, date of birth, contact information, and current address.
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Provide details about your medical history, including any previous diagnosis or family history of cancer or other genetic conditions.
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Answer questions about your lifestyle and environmental factors that may contribute to cancer risk, such as smoking, exposure to chemicals, or radiation.
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Specify any genetic testing you have undergone or plan to undergo in relation to cancer genetics.
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Include information about any previous or ongoing treatments or procedures related to cancer.
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Provide details about your insurance coverage and any medical providers you are currently seeing.
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Review the form for accuracy and completeness before submitting it.

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Individuals with a personal or family history of cancer may need to fill out the Beaumont cancer genetics personal form. This can include those who have been diagnosed with cancer themselves or have close relatives with a history of the disease.
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Remember, the information provided in the answer is for reference purposes only. It is always advisable to consult with medical or healthcare professionals for accurate and personalized guidance.
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Beaumont cancer genetics personal is a form used to gather information regarding an individual's personal and family history of cancer to assess their risk of developing the disease.
Individuals who are seeking genetic counseling or testing for cancer risk assessment are required to fill out beaumont cancer genetics personal form.
To fill out the beaumont cancer genetics personal form, individuals need to provide details about their personal and family history of cancer, including any known genetic mutations or syndromes.
The purpose of beaumont cancer genetics personal is to assess an individual's risk of developing cancer based on their genetic and family history, and to determine if genetic testing or counseling is recommended.
Information such as personal medical history, family history of cancer, genetic testing results, and any known genetic mutations or syndromes must be reported on beaumont cancer genetics personal.
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