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MICHIGAN BREAST AND CERVICAL CANCER CONTROLMEDICAID TREATMENT ACT PROGRAM Name Kent County Health Department Date sent to Provider CCCP Client Name Date of Birth Primary Clinician Current Primary
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Breast cancer is a disease in which malignant (cancer) cells form in the tissues of the breast. Cervical cancer is a type of cancer that occurs in the cells of the cervix, which connects the uterus to the vagina.
Individuals who have been diagnosed with breast or cervical cancer and are applying for certain treatment programs or benefits may be required to file information related to their diagnosis.
Filling out breast and cervical cancer-related forms typically involves providing personal information, details about the diagnosis, and medical history. It is recommended to follow the instructions provided on the specific forms required for filing.
The purpose of addressing breast and cervical cancer is to ensure proper medical treatment, support for affected individuals, and to promote awareness and prevention of these types of cancer.
Information that must be reported includes personal identification details, medical records, the date of diagnosis, treatment plans, and any other pertinent health information.
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