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Get the free Lung Cancer Screening Referral Form - ct

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LUNG CANCER SCREENING REFERRAL REFER PATIENT TO: Fax/ Telephone Cancer Institute at The Hospital of Central Connecticut/Hartford Healthcare Helen & Harry Gray Cancer Center at Hartford Hospital/Hartford
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Lung cancer screening referral is a referral made by a healthcare provider to a specialist for a screening test to detect lung cancer in individuals at high risk.
Healthcare providers including primary care physicians, pulmonologists, and oncologists are required to file lung cancer screening referral.
To fill out a lung cancer screening referral, the healthcare provider must provide patient information, medical history, smoking history, and reason for referral.
The purpose of lung cancer screening referral is to detect lung cancer at an early stage in high-risk individuals, increasing the chances of successful treatment and improving outcomes.
The information reported on a lung cancer screening referral includes patient demographics, medical history, smoking history, family history of cancer, and reason for referral.
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