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This document provides information about the Hereditary Cancer Risk Assessment Program at the Greater Baltimore Medical Center, including how to schedule an appointment, insurance coverage for visits
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How to fill out hereditary cancer risk assessment

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How to fill out Hereditary Cancer Risk Assessment Program

01
Obtain the Hereditary Cancer Risk Assessment Program form from your healthcare provider or cancer center.
02
Fill out personal information including your name, date of birth, and contact information.
03
Provide a detailed family history of cancer, including types of cancer, ages of diagnosis, and any genetic testing results.
04
Indicate your personal health history, including any previous cancer diagnoses or treatments.
05
Answer any specific questions regarding lifestyle factors, such as smoking and alcohol use.
06
Review the completed form for accuracy and comprehensiveness before submission.
07
Submit the form to your healthcare provider or designated facility for evaluation.

Who needs Hereditary Cancer Risk Assessment Program?

01
Individuals with a personal history of cancer, particularly those diagnosed at a young age.
02
People with a family history of cancer, especially multiple relatives with similar types of cancer.
03
Individuals belonging to ethnic groups with higher risks of hereditary cancers, such as Ashkenazi Jews.
04
Those who have tested positive for genetic mutations related to cancer predisposition, like BRCA1 or BRCA2.
05
Individuals referred by a healthcare provider for further assessment based on personal or family medical history.
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The Hereditary Cancer Risk Assessment Program is designed to evaluate individuals' risk of developing cancer due to genetic factors, helping to identify those who may benefit from increased surveillance or preventative measures.
Individuals with a personal or family history of cancer that suggests a hereditary pattern may be required to file for the Hereditary Cancer Risk Assessment Program.
To fill out the Hereditary Cancer Risk Assessment Program, individuals should gather relevant family medical histories, complete the assessment forms accurately, and provide all necessary documentation as specified by the program guidelines.
The purpose of the Hereditary Cancer Risk Assessment Program is to identify individuals at high risk for hereditary cancers, facilitate early detection, and guide preventive care options.
Information that must be reported includes personal cancer history, family history of cancer, genetic test results (if available), and any relevant health information that can assist in risk evaluation.
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