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CANCER GENETIC FAMILY HISTORY QUESTIONNAIRE Please complete this questionnaire prior to your Cancer Risk Assessment appointment. If you are uncertain about your family history, we encourage you to

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How to fill out cancer genetic family history

01

Collect information on immediate family members

02

Note down their age, health conditions, and cause of death

03

Include grandparents, aunts, uncles, and cousins

04

Record any known genetic mutations or syndromes

05

Consult with a genetic counselor for guidance on interpreting the information

Who needs cancer genetic family history?

01

Individuals with a family history of cancer

02

Those with a known genetic susceptibility to cancer

03

People with multiple relatives affected by cancer

04

Anyone planning to undergo genetic testing for cancer risk assessment

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What is cancer genetic family history?

Cancer genetic family history is a record of cancer diagnoses and related conditions among a person's close relatives.

Who is required to file cancer genetic family history?

Any individual with a history of cancer in their family is encouraged to provide their cancer genetic family history.

How to fill out cancer genetic family history?

To fill out a cancer genetic family history, individuals can use a standardized form provided by healthcare providers or online resources.

What is the purpose of cancer genetic family history?

The purpose of cancer genetic family history is to assess an individual's risk of developing cancer based on their family history.

What information must be reported on cancer genetic family history?

Information such as types of cancer, age of diagnosis, and any genetic testing results should be reported on cancer genetic family history.

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