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Breast Cancer Risk Reduction Medication Step Therapy Medication Request Form Attn: Pharmacy Dept. Fax (763.847.4014) All fields must be completed. Incomplete and/or Illegible forms will be returned.
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How to fill out breast cancer risk reduction

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How to fill out breast cancer risk reduction

01
Step 1: Start by gathering all the necessary information about your medical history and family history of breast cancer.
02
Step 2: Consult with a healthcare professional to assess your individual risk factors for breast cancer.
03
Step 3: Discuss with your healthcare professional about lifestyle modifications that can help reduce the risk of breast cancer, such as maintaining a healthy weight, regular exercise, and limiting alcohol consumption.
04
Step 4: If deemed necessary, consider additional risk reduction options like medication or preventive surgery.
05
Step 5: Follow the recommended screening guidelines for breast cancer and schedule regular mammograms as prescribed by your healthcare professional.

Who needs breast cancer risk reduction?

01
Women with a family history of breast cancer, especially if a close relative like a mother, sister, or daughter has been diagnosed with breast cancer.
02
Women with certain genetic mutations like BRCA1 or BRCA2, which are associated with an increased risk of breast cancer.
03
Women who have previously had breast cancer or non-cancerous breast conditions like lobular carcinoma in situ (LCIS) or atypical hyperplasia.
04
Women who have undergone radiation therapy to the chest area at a young age.
05
Women who have a high lifetime risk of breast cancer based on risk assessment models.
06
Women who have certain lifestyle factors that may increase their risk, such as obesity, sedentary lifestyle, smoking, or excessive alcohol consumption.
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Breast cancer risk reduction refers to actions taken to lower the chances of developing breast cancer.
Individuals who are at risk of developing breast cancer or those with a family history of the disease are required to file breast cancer risk reduction.
To fill out breast cancer risk reduction, individuals can consult with their healthcare provider for screening and prevention options.
The purpose of breast cancer risk reduction is to decrease the likelihood of developing breast cancer and to promote early detection and treatment.
Information reported on breast cancer risk reduction may include family history of the disease, lifestyle factors, and genetic testing results.
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