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11/02/2009-Page 1 of 3 PICO Cancer Screening Trial PICO Screening Trial: BREAST CANCER SUPPLEMENTAL DATA FORM (BCS) Screening Center: ................................. Abs tractor ID: ............................

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What is breast cancer supplemental form?

The breast cancer supplemental form is a document that provides additional information about a patient's breast cancer diagnosis and treatment.

Who is required to file breast cancer supplemental form?

Breast cancer patients and their healthcare providers are required to file the breast cancer supplemental form.

How to fill out breast cancer supplemental form?

The breast cancer supplemental form can be filled out online or in paper form, and requires detailed information about the patient's diagnosis, treatment, and outcomes.

What is the purpose of breast cancer supplemental form?

The purpose of the breast cancer supplemental form is to gather data on breast cancer cases for research, treatment planning, and quality improvement purposes.

What information must be reported on breast cancer supplemental form?

Information such as the patient's age, race, stage of cancer, treatments received, and outcomes must be reported on the breast cancer supplemental form.

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