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AutomaticBreastUltrasoundsystem(BUS)QuestionnaireName Date Physician DaytimePhone# BirthDate Age Formicas:Acct# Haveyoueverhadamammogram? Where? Date? WhatisyourBreastDensityLevel?A
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breastultrasoundquestionnaire1082709doc is a questionnaire used to gather information about breast ultrasounds.
Medical professionals or healthcare providers conducting breast ultrasounds are required to file the questionnaire.
The questionnaire must be filled out with accurate information about the breast ultrasound procedure and findings.
The purpose of the questionnaire is to document and track information related to breast ultrasounds for medical and research purposes.
Information such as patient demographics, ultrasound images, findings, and recommendations must be reported on the questionnaire.
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