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CONFIDENTIAL INFORMATION 7 2SJ00 BREAST SCREENING HISTORY NAME DATE OF BIRTH STREET ADDRESS CITY STICKER STATE HOME TELEPHONE WORK TELEPHONE ZIP CELL PHONE PREVIOUS MAMMOGRAM WHERE WHEN PREVIOUS ULTRASOUND

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What is breast screening history?

Breast screening history is a record of a person's past mammograms or other breast cancer screenings.

Who is required to file breast screening history?

Typically, women are required to file breast screening history, especially those above a certain age or with a family history of breast cancer.

How to fill out breast screening history?

Breast screening history can be filled out by providing information on past mammograms, dates of screenings, results, and any relevant family history of breast cancer.

What is the purpose of breast screening history?

The purpose of breast screening history is to track a person's past breast cancer screenings, identify any patterns or anomalies, and help in early detection and prevention of breast cancer.

What information must be reported on breast screening history?

Information such as dates of past mammograms, results of screenings, any abnormalities found, and family history of breast cancer must be reported on breast screening history.

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