Get the free Breast and cervical history/exam/screening form

Breast Cervical & Colon Health Program 401 5th Ave #1110, Seattle WA 98104T 2062638176 F 2062960208DOH 342057 Jan 2020DOH 342054 February 2018Page 1of 2BREAST & CERVICAL HISTORY/EXAM/SCREENING FORM

How to fill out breast and cervical historyexamscreening

How to fill out breast and cervical historyexamscreening

1. To fill out a breast and cervical history exam screening, follow these steps:
2. Start by gathering all the necessary information about the patient, such as their personal details, medical history, and any previous screenings or tests.
3. Ask the patient specific questions related to breast health, such as any family history of breast cancer, previous biopsies or surgeries, or any symptoms they may be experiencing.
4. Inquire about the patient's menstrual history, including the age of menarche, regularity of cycles, and any menopausal symptoms.
5. Document any previous mammograms, ultrasounds, or other imaging tests the patient has undergone.
6. Record any past or current use of hormone therapy or birth control.
7. Ask the patient about their knowledge and practice of breast self-examination.
8. Move on to the cervical history exam screening by asking questions related to cervical health, such as any previous abnormal Pap smears, HPV testing, or cervical biopsies.
9. Inquire about the patient's sexual history, including the age of first sexual intercourse, number of partners, and any history of sexually transmitted infections.
10. Document any history of pelvic pain, abnormal bleeding, or other gynecological symptoms.
11. Conclude the history exam screening by addressing any additional concerns or questions the patient may have.
12. Remember to maintain confidentiality and create a comfortable environment for the patient to openly discuss their health history.

Who needs breast and cervical historyexamscreening?

1. Breast and cervical history exam screening is recommended for:
2. - Women aged 21 and above for cervical screening, as per the guidelines of the American Cancer Society.
3. - Women aged 40 and above for breast cancer screening, although individual recommendations may vary depending on factors such as family history and personal risk factors.
4. - Individuals who have never undergone a breast or cervical screening before.
5. - Individuals who have a family history of breast or cervical cancer.
6. - Individuals who have experienced symptoms or abnormalities related to breast or cervical health.
7. It is important to consult a healthcare professional for personalized recommendations and screening intervals based on individual health factors.

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What is breast and cervical history exam screening?

Breast and cervical history exam screening refers to the medical assessments conducted to check for any abnormalities in breast and cervical health, often involving mammograms and Pap smears.

Who is required to file breast and cervical history exam screening?

Typically, individuals who are eligible for health coverage programs under the Breast and Cervical Cancer Prevention and Treatment Act are required to file this screening.

How to fill out breast and cervical history exam screening?

To fill out the breast and cervical history exam screening forms, individuals need to provide personal information, medical history, and details about previous screenings or treatments.

What is the purpose of breast and cervical history exam screening?

The purpose of breast and cervical history exam screening is to detect potential breast and cervical cancers early, ensuring timely treatment and improving patient outcomes.

What information must be reported on breast and cervical history exam screening?

Information that must be reported includes personal identification details, medical history, results from previous screenings, and any relevant family history of cancer.