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Fax completed form to: 503-373-7493 OHA 1463 (01/12) Page 1 of 5 Breasts and Cervical Cancer Treatment Program (CCTP) Application and Referral Form
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How to fill out breast and cervical cancer
How to fill out breast and cervical cancer
01
Step 1: Gather all necessary documents and information such as medical history, previous test results, and personal identification.
02
Step 2: Schedule an appointment with a healthcare provider who specializes in breast and cervical cancer screening.
03
Step 3: Arrive at the appointment and provide the required information to the healthcare provider.
04
Step 4: For breast cancer screening, the healthcare provider will perform a physical examination of the breasts and may also order a mammogram or ultrasound.
05
Step 5: For cervical cancer screening, the healthcare provider will conduct a pap smear test, where a small sample of cells is collected from the cervix for laboratory analysis.
06
Step 6: Follow any additional instructions given by the healthcare provider, such as undergoing further diagnostic tests if any abnormalities are detected.
07
Step 7: Await the results of the screening tests, which will be communicated by the healthcare provider.
08
Step 8: Consult with the healthcare provider to understand the test results and discuss any necessary follow-up actions or treatments.
Who needs breast and cervical cancer?
01
Any individual assigned female at birth and who has reached the recommended age should undergo breast and cervical cancer screening.
02
Women who are sexually active or have reached the age of 21 are typically advised to get regular cervical cancer screenings.
03
Breast cancer screening is recommended for women starting from age 40 or as advised by the healthcare provider based on individual risk factors such as family history or genetic predisposition.
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It is important for individuals to consult with their healthcare provider to determine the appropriate age and frequency for breast and cervical cancer screenings based on personal health history and risk factors.
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What is breast and cervical cancer?
Breast cancer is a type of cancer that forms in the cells of the breasts. Cervical cancer is a type of cancer that occurs in the cells of the cervix.
Who is required to file breast and cervical cancer?
Individuals who have been diagnosed with breast or cervical cancer may be required to file reports for tracking and monitoring purposes.
How to fill out breast and cervical cancer?
Forms for reporting breast and cervical cancer can typically be filled out online or submitted through a healthcare provider.
What is the purpose of breast and cervical cancer?
The purpose of tracking breast and cervical cancer is for monitoring trends, identifying risk factors, and improving prevention and treatment strategies.
What information must be reported on breast and cervical cancer?
Information typically reported includes details of diagnosis, treatment, and outcomes of individuals with breast or cervical cancer.
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