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IMAGING CT Lung Cancer Screening Program Requisition or Referral PATIENT INFORMATION (All fields are required) Name: ___ Date of Birth: ___ Address: ___City: ___ State: ___ Zip:___ Contact Phone Number:
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How to fill out ct lung cancer screening
How to fill out ct lung cancer screening
01
Ask your doctor if you are eligible for a CT lung cancer screening.
02
Schedule the screening appointment.
03
Arrive at the appointment on time.
04
Follow any instructions provided by the medical staff.
05
Complete the screening procedure as directed.
06
Wait for the results to be received and discussed with your doctor.
Who needs ct lung cancer screening?
01
Individuals who are at a high risk for developing lung cancer, such as current or former smokers aged 55 to 80 years old with a history of smoking at least 30 pack years.
02
Those with a family history of lung cancer or other risk factors as determined by a healthcare provider.
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What is ct lung cancer screening?
CT lung cancer screening is a procedure that uses low-dose CT scans to detect lung cancer in individuals who are at high risk for the disease.
Who is required to file ct lung cancer screening?
Individuals who are at high risk for lung cancer, such as current or former smokers, are typically required to undergo CT lung cancer screening.
How to fill out ct lung cancer screening?
CT lung cancer screening is usually filled out by a healthcare provider who performs the scan and interprets the results.
What is the purpose of ct lung cancer screening?
The purpose of CT lung cancer screening is to detect lung cancer at an early stage when it is more treatable.
What information must be reported on ct lung cancer screening?
The ct lung cancer screening report typically includes information about the patient's demographics, smoking history, and the results of the scan.
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