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Get the free Breast and Ovarian Cancers - Walgreens

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For assistance, contact your pharmacy representative: ___ Phone:___ (For providers only) Note: This form is intended for prescriber use only, if faxed, the fax must come from prescribers office or
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Who needs breast and ovarian cancers?

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Breast and ovarian cancers primarily affect women, although men can also develop breast cancer.
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Breast and ovarian cancers are types of cancer that affect the breasts and ovaries, respectively.
Individuals who have been diagnosed with breast or ovarian cancer may be required to report their diagnosis.
Filling out breast and ovarian cancer reports typically involves providing information about the diagnosis, treatment, and outcomes.
The purpose of reporting breast and ovarian cancers is to track and monitor the incidence and treatment of these types of cancer.
Information that must be reported on breast and ovarian cancers includes the type of cancer, stage of diagnosis, treatment received, and outcomes.
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