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MRI BREAST QUESTIONNAIRE Patient Name: ACC:DOB: MAN:Age:Referring Provider:1.) Why are you having this test?PLEASE CHECK ALL THAT APPLIES AND INDICATE ON THE FIGURE: Strong Family History Breast Cancer
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Breast cancer screening tests are medical procedures used to detect breast cancer in individuals who do not have any symptoms. These tests may include mammograms, breast ultrasounds, and MRI scans.
Individuals, typically women over the age of 40, are recommended to undergo breast cancer screening tests; however, those with a family history or genetic predisposition may be required to start screening earlier.
Filling out breast cancer screening tests typically involves providing personal health information, family history related to breast cancer, and any previous screening results. It's important to follow the specific instructions provided by the healthcare provider.
The purpose of breast cancer screening tests is to detect cancer early when it is most treatable, reduce the risk of dying from breast cancer, and identify abnormalities that may require further investigation.
Information that must be reported includes the individual's demographics, medical history, family history of breast cancer, results of the screening tests, and any recommendations for follow-up care.
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