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Colorectal Cancer Diagnostic Assessment Program Referral Form Referral Date (YYY/MM/DD): Fax To: 416 80 818 Patient Navigator 4 7 PATIENT IDENTIFICATION PATIENT INFORMATION Last Name: First Name:
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How to fill out colorectal cancer diagnostic assessment

How to fill out colorectal cancer diagnostic assessment
01
Gather all necessary medical records and test results related to colorectal cancer screening.
02
Schedule an appointment with your healthcare provider to discuss the diagnostic assessment.
03
Arrive at the healthcare facility on the designated date and time.
04
Fill out the required forms and paperwork provided by the healthcare provider.
05
Provide accurate and detailed information about your medical history, previous screenings, symptoms, and family history of colorectal cancer.
06
Undergo a physical examination, which may include a digital rectal exam.
07
Discuss any potential risk factors and concerns with your healthcare provider.
08
Follow the instructions provided by your healthcare provider regarding any preparation required before specific diagnostic tests (such as fasting or bowel cleansing).
09
Undergo various diagnostic tests, which may include blood tests, imaging tests (like CT scan or MRI), colonoscopy, sigmoidoscopy, or biopsy.
10
Cooperate with the healthcare team and follow the recommended procedures during the diagnostic assessment.
11
Discuss the results of the assessment with your healthcare provider and inquire about further steps, treatment options, or additional tests if necessary.
Who needs colorectal cancer diagnostic assessment?
01
Individuals who are experiencing symptoms such as persistent abdominal pain, changes in bowel movements, rectal bleeding, or unexplained weight loss.
02
People with a family history of colorectal cancer or polyps.
03
Individuals aged 50 years or older, as recommended by most healthcare guidelines.
04
Patients with a personal history of inflammatory bowel disease, such as Crohn's disease or ulcerative colitis.
05
Individuals with certain genetic syndromes, such as Lynch syndrome or familial adenomatous polyposis (FAP).
06
People who have previously had colorectal cancer or precancerous polyps.
07
Individuals with a known predisposition for colorectal cancer due to specific genetic mutations or hereditary factors.
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What is colorectal cancer diagnostic assessment?
Colorectal cancer diagnostic assessment is a detailed evaluation used to detect the presence of colorectal cancer.
Who is required to file colorectal cancer diagnostic assessment?
Patients who are suspected of having colorectal cancer or have a family history of the disease are required to undergo colorectal cancer diagnostic assessment.
How to fill out colorectal cancer diagnostic assessment?
Colorectal cancer diagnostic assessment is typically filled out by a healthcare provider who conducts various tests and procedures to evaluate the patient's colorectal health.
What is the purpose of colorectal cancer diagnostic assessment?
The purpose of colorectal cancer diagnostic assessment is to detect and diagnose colorectal cancer at an early stage, which can lead to better treatment outcomes.
What information must be reported on colorectal cancer diagnostic assessment?
Information such as medical history, symptoms, physical examination findings, imaging results, and laboratory test results must be reported on colorectal cancer diagnostic assessment forms.
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