MI BCCCP Cervical Follow-Up Form 2011-2025 free printable template

BREAST AND CERVICAL CANCER CONTROL PROGRAM (CCCP) CERVICAL FOLLOWUP FORM Revised 1/11 Enrollment Site: Date Enrolled Into the Program

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How to fill out MI BCCCP Cervical Follow-Up Form

1. Gather necessary patient information, including name, date of birth, and contact details.
2. Review the patient's previous cervical screening results and any relevant medical history.
3. Complete the screening section by indicating the type of screening performed.
4. Fill out the follow-up recommendations based on the screening results.
5. Provide clear instructions for the patient regarding next steps or referrals if needed.
6. Ensure that all information is accurate and sign the form where required.

Who needs MI BCCCP Cervical Follow-Up Form?

1. Individuals who have undergone cervical screening and need follow-up care.
2. Healthcare providers managing patients with abnormal cervical screening results.
3. Patients enrolled in the MI BCCCP program for cervical health initiatives.

People Also Ask about

What is the latest information on cervical cancer?

Cervical cancer is the fourth most common cancer among women globally, with an estimated 604 000 new cases and 342 000 deaths in 2020. About 90% of the new cases and deaths worldwide in 2020 occurred in low- and middle-income countries (1).

What is the basic information about cervical cancer?

Anyone with a cervix is at risk for cervical cancer. It occurs most often in people over age 30. Long-lasting infection with certain types of human papillomavirus (HPV) is the main cause of cervical cancer. HPV is a common virus that is passed from one person to another during sex.

What is the theme for cervical cancer 2023?

This year, we are focusing on ending cervical cancer within a few generations as the theme for Cervical Cancer Awareness Month. When diagnosed, cervical cancer is one of the most successfully treatable forms of cancer, as long as it is detected early and managed effectively.

What are the latest advances in cervical cancer?

The addition of bevacizumab (Avastin) to chemotherapy has improved the survival for women with advanced or metastatic cervical cancer. New immunotherapy treatments, including activated T-cells (that can recognize and kill cancer cells), therapeutic vaccines, and immune checkpoint inhibitors, have shown promise.

How do you qualify for every woman counts?

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 breast exam and a mammogram.

What are the 4 stages of cervical cancer?

Early stage cervical cancer usually includes stages 1A, 1B and 2A. Locally advanced cervical cancer usually includes stages 2B, 3 and 4A. Advanced stage cervical cancer usually means stage 4B.

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What is MI BCCCP Cervical Follow-Up Form?

The MI BCCCP Cervical Follow-Up Form is a document used within the Michigan Breast and Cervical Cancer Control Program to track and manage follow-up care for individuals who have received cervical health screenings and require further attention based on their results.

Who is required to file MI BCCCP Cervical Follow-Up Form?

Healthcare providers and professionals involved in the care of patients who have received cervical cancer screenings are required to file the MI BCCCP Cervical Follow-Up Form, particularly when abnormal results are noted.

How to fill out MI BCCCP Cervical Follow-Up Form?

To fill out the MI BCCCP Cervical Follow-Up Form, a healthcare provider should provide patient identification information, detail the results of the cervical screening, indicate any follow-up actions taken, and document any referrals made for additional care or treatment.

What is the purpose of MI BCCCP Cervical Follow-Up Form?

The purpose of the MI BCCCP Cervical Follow-Up Form is to ensure that individuals with abnormal cervical screening results receive timely and appropriate follow-up care and to monitor the effectiveness of the cervical cancer screening program.

What information must be reported on MI BCCCP Cervical Follow-Up Form?

The information that must be reported on the MI BCCCP Cervical Follow-Up Form includes patient demographics, screening results, follow-up recommendations, services provided, and any additional necessary referrals for treatment or further evaluation.