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RELAY FOR LIFE and YOU: Together, we're resaving lives and creating more birthdays! 1 in 4 members of this community will be diagnosed with cancer during their lifetime. We need your help to educate
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How to Fill Out If You've Been Diagnosed:

01
Start by gathering all relevant medical documents and records related to your diagnosis. This may include test results, doctor's notes, and treatment plans.
02
Read the instructions carefully before filling out any forms. Make sure you understand what information is being asked and how it should be provided.
03
Begin by providing your personal information, such as your full name, date of birth, and contact details.
04
Clearly state the name of your diagnosis and any relevant medical codes or terminology associated with it.
05
Include the date of your diagnosis, as well as the name and contact information of the healthcare professional who diagnosed you.
06
Provide a brief summary of your medical history leading up to the diagnosis. This may include any symptoms or events that prompted you to seek medical attention.
07
Describe the treatment you have received thus far and any ongoing medications or therapies you are currently undergoing.
08
If applicable, mention any lifestyle changes you have made or special accommodations you require due to your diagnosis.
09
Sign and date the form, and make a photocopy for your records before submitting it to the relevant party.

Who Needs If You've Been Diagnosed:

01
Individuals who have received a diagnosis for a medical condition or illness will typically need to fill out these forms. This includes both acute and chronic conditions.
02
Patients who are transitioning between healthcare providers or seeking a second opinion may be asked to fill out these forms to provide their medical history and diagnosis.
03
Insurance companies or government agencies often require these forms to assess a person's eligibility for coverage or benefits related to their diagnosis.
04
Employers may request these forms to evaluate whether accommodations or workplace adjustments are necessary for an employee's health condition.
05
Some research studies or clinical trials may require participants to complete these forms to determine their eligibility based on specific diagnoses.
Note: It is important to follow the instructions provided by the specific organization or entity requesting the form and ensure accuracy and honesty while filling out the information.
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If you've been diagnosed refers to the situation where an individual has received a diagnosis of a medical condition or illness.
Individuals who have been diagnosed with a medical condition or illness are required to file the necessary paperwork.
To fill out if you've been diagnosed, you will need to provide information about your diagnosis, medical history, and any treatments or medications you are receiving.
The purpose of if you've been diagnosed is to ensure that individuals receive appropriate medical care and support for their condition.
Information that must be reported on if you've been diagnosed includes the name of the medical condition, date of diagnosis, treating physician, and any relevant medical history.
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