Get the free ch-1069 Abnormal Pap Cytology COLPOSCOPY REFERRAL FORM .cdr

Provincial Cervical Screening Initiatives Program Abnormal Pap Cytology COLONOSCOPY REFERRAL FORM Cancer Care Program CC1 0 8 0 1 0 6 9 02 2015 Instructions: Complete form and fax to Gynecologist

How to fill out ch-1069 abnormal pap cytology

How to fill out ch-1069 abnormal pap cytology

1. Step 1: Gather all the necessary documents such as the CH-1069 form and the abnormal pap cytology report.
2. Step 2: Fill out the patient's personal information accurately on the CH-1069 form, including name, date of birth, and contact information.
3. Step 3: Provide the details of the abnormal pap cytology findings on the form, including the date of the test, the laboratory where it was conducted, and the specific abnormalities detected.
4. Step 4: Indicate if any follow-up procedures or treatments have been recommended based on the pap cytology results.
5. Step 5: Review the completed form for any errors or missing information before submitting it.
6. Step 6: Submit the filled-out CH-1069 form along with the abnormal pap cytology report to the relevant healthcare authority or department as instructed.
7. Step 7: Keep a copy of the completed form and report for your own records.
8. Step 8: Follow any further instructions or recommendations provided by the healthcare authority regarding the abnormal pap cytology results.

Who needs ch-1069 abnormal pap cytology?

1. Anyone who has undergone a pap cytology test and received abnormal results may need to fill out CH-1069 form.
2. This form is typically required by healthcare authorities or departments to document and track cases of abnormal pap cytology for further evaluation and management.
3. Patients who have been advised to undergo follow-up procedures or treatments based on the abnormal results are usually required to fill out this form.

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