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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 / YYY CBE RESULTS Date: mm / dd / yyyyFacility/Provider:
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To fill out breast and cervical cancer, follow these steps:
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Who needs breast and cervical cancer?

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Breast and cervical cancer screenings are typically needed by women of certain age groups or those at higher risk.
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Women between the ages of 40-69 are generally recommended to undergo regular breast cancer screenings.
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Cervical cancer screenings are usually recommended for women aged 21-65, although the frequency and specific recommendations may vary based on individual risk factors and medical history.
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Women with a family history of breast or cervical cancer, previous abnormal screening results or biopsies, certain genetic mutations, or other risk factors may also require more frequent or specialized screenings.
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It is essential to consult with a healthcare provider or medical professional to determine the specific screening guidelines and recommendations based on individual circumstances.
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Breast and cervical cancer are types of cancer that affect the breasts and cervix respectively.
Healthcare providers and facilities are required to file reports of breast and cervical cancer cases.
Healthcare providers must complete the required reporting forms with detailed information about the cancer cases.
The purpose of reporting breast and cervical cancer is to track and monitor cancer cases for public health purposes.
Information such as patient demographics, cancer diagnosis, treatment received, and outcomes must be reported.
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