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Chart #:Well Woman Hatcheck Program Diagnosis and Treatment Form BREASTContractor/Location:Provider:Last Name:First Name:DOB:DIAGNOSTIC PROCEDURESImaging Procedures Diagnostic Mammogram Date of procedure
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Provide relevant medical history and any past cancer prevention treatments or screenings.
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ADHS - cancer prevention refers to the Arizona Department of Health Services program aimed at preventing cancer through education, screenings, and early detection.
Healthcare providers, clinics, and facilities in Arizona are required to report cancer prevention efforts to ADHS.
ADHS provides online forms and guidelines for healthcare providers to report on their cancer prevention activities.
The purpose of ADHS - cancer prevention is to reduce the incidence and impact of cancer through education, early detection, and interventions.
Healthcare providers must report on cancer screenings, interventions, patient outcomes, and other relevant data.
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