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This form is used to enroll women aged 45 to 69 in the BreastScreen Aotearoa programme for free biennial mammograms, requiring the consent of the women.
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How to fill out breastscreen aotearoa - enrolment

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How to fill out BreastScreen Aotearoa - Enrolment Form

01
Obtain the BreastScreen Aotearoa Enrolment Form from the official website or a local healthcare provider.
02
Provide personal details, including full name, date of birth, and contact information.
03
Indicate your ethnicity and any relevant medical history, such as previous breast conditions.
04
Select your preferred appointment location and method for receiving results.
05
Review all information for accuracy and completeness.
06
Sign and date the form to confirm the information provided is correct.
07
Submit the completed form via the specified method, either online, by post, or in person.

Who needs BreastScreen Aotearoa - Enrolment Form?

01
Women aged 45 to 69 years who are due for a breast cancer screening.
02
Individuals with a family history of breast cancer.
03
Women who have never had a mammogram before.
04
Anyone looking for information or resources related to breast health.
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People Also Ask about

Start regular screening To sign up, phone BreastScreen Aotearoa on 0800 270 200, or complete the form below.
From age 45 – 69 (work has started on extending to 74), you can have a free mammogram, once every two years, through BreastScreen Aotearoa. The service is available in centres around New Zealand. BreastScreen Aotearoa also has a mobile screening unit, which travels to smaller towns throughout the year.
Do I need a referral? If you are under 40 years or experiencing any concerning symptoms we will require a referral.
Recommendation Summary The USPSTF recommends biennial screening mammography for women aged 40 to 74 years. The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening mammography in women 75 years or older.
Regular mammograms can save lives by finding cancer early, before it spreads. BreastScreen Aotearoa provides free screening for eligible women aged 45 to 69.
BreastScreen Aotearoa is extending the age range for free screening. The current age range is 45 to 69 years.
Screening mammograms and ultrasounds can also be performed at private or radiology clinics. Women who are not eligible through BSA (e.g. if they are under 45 and over 69) are able to make an appointment at these services at their own cost.
BreastScreen Aotearoa (BSA) is New Zealand's free National Screening Programme. They provide free mammograms every two years for women with no symptoms aged between 45 and 69 (and have announced they'll be progressively increasing this upper limit, from 69 to 74).

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The BreastScreen Aotearoa - Enrolment Form is a document used to register individuals into the BreastScreen Aotearoa program, which provides free breast screening services to eligible women in New Zealand.
Women aged 45 to 69 years in New Zealand are required to file the BreastScreen Aotearoa - Enrolment Form to participate in the breast screening program.
To fill out the BreastScreen Aotearoa - Enrolment Form, individuals should provide personal information such as their name, date of birth, address, and contact details. They may also need to answer questions related to their health history and any previous breast screening.
The purpose of the BreastScreen Aotearoa - Enrolment Form is to collect necessary information to ensure that women are eligible for the screening program and to keep track of participants for future breast health monitoring.
The information that must be reported on the BreastScreen Aotearoa - Enrolment Form includes the individual's name, address, date of birth, contact information, ethnicity, medical history, and previous breast screening results.
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