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BREAST ASYMMETRY/BREAST REDUCTION ASSESSMENT FORM September 2013 The purpose of this form is to determine if your patient is eligible for consideration of NHS funded Breast Asymmetry or Breast Reduction
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How to fill out breast asymmetrybreast reduction assessment

01
Start by gathering all the necessary paperwork and documentation for the breast asymmetry/breast reduction assessment.
02
Fill out your personal information, including your name, age, address, and contact details.
03
Provide a detailed medical history, including any previous surgeries, medications, and health conditions.
04
Describe your current symptoms and concerns regarding breast asymmetry or the desire for breast reduction.
05
Answer any specific questions about your breast size, shape, and any discomfort or pain experienced.
06
Include any additional information or relevant details that you feel may be important for the assessment.
07
Review the completed assessment form for accuracy and completeness before submitting it.
08
Follow any additional instructions provided by the healthcare professional or institution conducting the assessment.
09
Submit the filled-out breast asymmetry/breast reduction assessment form to the designated recipient.

Who needs breast asymmetrybreast reduction assessment?

01
Any individual who has concerns or issues related to breast asymmetry or desires breast reduction may need a breast asymmetry/breast reduction assessment.
02
This assessment is typically required for individuals considering breast reduction surgery or seeking medical guidance regarding breast asymmetry.
03
It is advised to consult with a qualified healthcare professional to determine if a breast asymmetry/breast reduction assessment is necessary in your particular case.
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Breast asymmetrybreast reduction assessment is a medical evaluation to assess and determine the degree of breast asymmetry or the need for breast reduction surgery.
Individuals who are considering breast reduction surgery or are experiencing breast asymmetry are required to file this assessment.
The assessment is usually filled out by a qualified medical professional who will evaluate the patient's medical history, physical symptoms, and other relevant factors.
The purpose of the assessment is to determine the need for breast reduction surgery, assess the degree of breast asymmetry, and ensure that the procedure is safe and appropriate for the individual.
The assessment typically includes information about the patient's medical history, physical symptoms, previous surgeries, and any other relevant medical information.
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