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PACES (S0820) Patient Screening Checklist* PatientName Patient ID: DISEASECHARACTERISTICS ResectedStage0IIIcoloncancerwithprimaryresection1yearpreviously(polypectomy endomucosalresection EMR alonenotconsideredasaprimaryresection):
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Paces only screening checklist is a form used to identify and screen individuals who may be at risk for certain health conditions.
Healthcare providers and facilities are required to file paces only screening checklist.
Paces only screening checklist can be filled out by providing the required information and following the guidelines provided.
The purpose of paces only screening checklist is to assess and identify individuals who may need further evaluation or treatment.
Information such as patient demographics, medical history, and screening results must be reported on paces only screening checklist.
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