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WESTERN AUSTRALIAN MELANOMA ADVISORY SERVICE CLINICAL SUMMARY FOR REFERRED PATIENTS PATIENT DETAILS REFERRING CLINICIAN NAME SEX NAME ADDRESS TELEPHONE DOB FAX PRIMARY MELANOMA ANATOMIC SITE PRIMARY
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How to fill out the Western Australian Melanoma Advisory:

01
Start by reading the advisory carefully to understand its purpose and requirements.
02
Gather all the necessary information and documentation needed to complete the form, such as personal details, medical history, and any relevant test results.
03
Fill out the sections of the advisory accurately and honestly. Make sure to provide all the requested information, including specific details about any previous instances of melanoma or other skin conditions.
04
If you encounter any terms or questions that you are unsure about, consult with a medical professional or refer to the provided guidelines for clarification.
05
Review the completed advisory form thoroughly before submitting it. Double-check for any errors or missing information.
06
Once you are satisfied with the accuracy and completeness of the form, sign and date it according to the instructions provided.
07
Submit the filled-out advisory form through the designated submission channel, such as mail or online submission portals.
08
Keep a copy of the completed form for your records.

Who needs the Western Australian Melanoma Advisory?

01
Individuals who have been diagnosed with or have a history of melanoma should complete the advisory. This includes those who have undergone treatment for melanoma or are currently receiving ongoing care for the condition.
02
Individuals with a family history of melanoma, especially if they have first-degree relatives (parents, siblings, or children) who have been diagnosed with the disease.
03
People who have been exposed to significant amounts of ultraviolet (UV) radiation, such as frequent sun exposure, indoor tanning, or occupational exposure to UV radiation.
04
Those who have a large number of moles or atypical moles, as these individuals might be at a higher risk for developing melanoma.
05
Individuals with fair skin, light-colored eyes, and a tendency to burn rather than tan are also encouraged to complete the advisory.
06
People with a weakened immune system due to certain medical conditions or medications should consider filling out the advisory, as immune suppression can increase the risk of melanoma.
07
Finally, anyone with concerns or questions related to melanoma can benefit from completing the Western Australian Melanoma Advisory, as it can provide valuable information and guidance for early detection, prevention, and management of the disease.
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The Western Australian Melanoma Advisory is a report submitted to the government containing information on melanoma cases in the region.
Healthcare professionals and facilities are required to file the Western Australian Melanoma Advisory.
The Western Australian Melanoma Advisory can be filled out online through the designated government portal.
The purpose of the Western Australian Melanoma Advisory is to track and monitor melanoma cases in the region for public health planning and research purposes.
Information such as patient demographics, tumor characteristics, treatment details, and outcomes must be reported on the Western Australian Melanoma Advisory.
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