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5202 Family History Date of Registration: (dd MMM YYY) Status Date of Visit RUN Participant ID: Local Subject ID: Site ID: Current annual household income: (indicate one) Less than $30,000 ×30,000×60,000
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How to fill out amily history - mammag?

01
Gather necessary information: Collect relevant details about your family members, such as their names, dates of birth, and any significant medical conditions they may have had.
02
Consult with family members: Reach out to your relatives, both immediate and extended, to gather accurate information about their health history. This can be done through phone calls, emails, or family gatherings.
03
Use a family history form: Use a standardized family history form, such as the one provided by the Mammography Genetics Consortium (Mammag). This form typically includes sections for personal information, medical conditions, and reproductive history.
04
Record information systematically: As you collect information, record it on the family history form in a systematic manner. Pay attention to specific details, such as the age at which a family member was diagnosed with a certain medical condition.
05
Seek medical records if necessary: If you come across any medical conditions or diseases within your family history that require further details, consider reaching out to medical professionals or obtaining medical records to ensure accuracy.
06
Share information with healthcare provider: Once you have completed the family history form, it is important to share this information with your healthcare provider. They can use it to assess your risk factors for certain diseases and develop appropriate prevention or treatment plans.

Who needs amily history - mammag?

01
Individuals with a family history of medical conditions: Those who have close family members, such as parents or siblings, with known medical conditions can benefit from filling out the family history form. This helps healthcare providers assess their risk factors and develop personalized care plans.
02
Women seeking mammography screenings: As the name suggests, Mammag primarily focuses on breast health. Women who are recommended to undergo mammography screenings or have concerns about breast cancer should consider filling out the family history form.
03
Individuals interested in genetic testing: Filling out the family history form can help individuals determine if they are at higher risk for certain genetic conditions. This information can be valuable for those interested in genetic testing or counseling.
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Family history - mammag is a form used to report family medical history related to breast cancer and ovarian cancer.
Individuals with a family history of breast cancer or ovarian cancer are required to file family history - mammag form.
Family history - mammag form can be filled out by providing detailed information about family members who have been diagnosed with breast cancer or ovarian cancer.
The purpose of family history - mammag is to assess individual's risk of developing breast cancer or ovarian cancer based on family medical history.
Family history - mammag requires information about family members who have been diagnosed with breast cancer, ovarian cancer, age at diagnosis, and any genetic mutations.
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