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BREAST AND CERVICAL SCREENING FORMICAS # Last Name First Name Birth Date: mm / dd / YYY Enrollment/Clinic Site: Office Visit Date: mm / dd / yyyyCBE RESULTS Date: mm / dd / YYY Facility/Provider:
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How to fill out breast and cervical screening

How to fill out breast and cervical screening
01
Schedule an appointment with your healthcare provider.
02
Arrive for your appointment on time.
03
Provide your personal information and medical history to the healthcare provider.
04
Undress from the waist up and put on a gown provided by the healthcare provider.
05
The healthcare provider will perform a breast exam by palpating the breasts for any lumps or abnormalities.
06
The healthcare provider may then perform a pap smear to collect cells from the cervix for screening.
07
The collected samples will be sent to a laboratory for analysis.
08
Wait for the results to be communicated to you by your healthcare provider.
09
Follow any further instructions or recommendations given by your healthcare provider based on the test results.
Who needs breast and cervical screening?
01
Breast and cervical screening is recommended for women of a certain age and risk factors.
02
The guidelines may vary based on the country and specific healthcare provider, but generally, it is recommended for:
03
- Women aged 40 to 75 for breast screening, with varying frequency depending on guidelines.
04
- Women aged 21 to 65 for cervical screening, typically starting at age 21 and repeating every 3 to 5 years depending on the guidelines.
05
It is important to consult with your healthcare provider for personalized advice on breast and cervical screening based on your individual risk factors.
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