Get the free Colorectal Cancer Diagnostic Assessment Unit Referral Form

Colorectal Cancer Diagnostic Assessment Unit Referral Form Fax completed form to (416) 4696361 DATE OF REFERRAL: REASON FOR REFERRAL TO COLORECTAL CANCER DIAGNOSTIC ASSESSMENT UNIT Patient referred

How to fill out colorectal cancer diagnostic assessment

How to fill out colorectal cancer diagnostic assessment

1. Start by gathering all the necessary information and documents that are required for the colorectal cancer diagnostic assessment.
2. Fill out the personal information section accurately, providing your name, date of birth, address, and contact details.
3. Move on to the medical history section and provide details about any previous diagnosis of colorectal cancer or any other related medical conditions.
4. Fill out the family history section, mentioning if any of your immediate family members have been diagnosed with colorectal cancer.
5. Provide information about any symptoms or changes you have noticed in your bowel habits, such as blood in the stool, persistent abdominal pain, or unexplained weight loss.
6. If you have undergone any previous tests or procedures related to colorectal cancer, make sure to provide the details in the relevant section.
7. Answer any additional questions mentioned in the assessment form, as they may help in the accurate diagnosis of colorectal cancer.
8. Review all the information entered before submitting the completed colorectal cancer diagnostic assessment form.
9. If required, consult with a healthcare professional or specialist for further guidance or clarification on any questions in the assessment form.
10. Submit the filled-out colorectal cancer diagnostic assessment form through the designated channel or to the appropriate healthcare provider.

Who needs colorectal cancer diagnostic assessment?

1. Colorectal cancer diagnostic assessment is needed for individuals who may be at risk of colorectal cancer or those who are experiencing symptoms associated with this type of cancer.
2. People with a family history of colorectal cancer or certain genetic conditions that increase the risk are also recommended to undergo a diagnostic assessment.
3. Additionally, individuals over the age of 50, as well as those who have had previous colorectal cancer or polyp diagnosis, should consider getting a diagnostic assessment regularly.
4. It is important to consult with a healthcare professional or specialist to determine if a colorectal cancer diagnostic assessment is necessary in specific cases.

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