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DEPARTMENT OF HEALTH SERVICES Division of Public Health F44723 (04/2019)STATE OF WISCONSIN Wis. Stat. 255.075WISCONSIN WELL WOMAN PROGRAMBREAST AND CERVICAL CANCER SCREENING ACTIVITY REPORT (ARF)INSTRUCTIONS:

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How to fill out breast and cervical cancer

01

Schedule regular screenings for breast and cervical cancer with your healthcare provider.

02

Follow the instructions provided by your healthcare provider for the specific screening tests.

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Be open and honest with your healthcare provider about any symptoms or concerns you may have.

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Stay informed about the recommended age for screenings and any updates to guidelines.

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Practice self-examinations for breast cancer regularly and report any changes to your healthcare provider.

Who needs breast and cervical cancer?

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Women of all ages are at risk for breast and cervical cancer and should undergo regular screenings as recommended by their healthcare provider.

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Individuals with a family history of breast or cervical cancer may have a higher risk and should discuss screening options with their healthcare provider.

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What is breast and cervical cancer?

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, the lower part of the uterus that connects to the vagina.

Who is required to file breast and cervical cancer?

Individuals who are diagnosed with breast or cervical cancer may be required to file for assistance programs or insurance claims related to their treatment.

How to fill out breast and cervical cancer?

To fill out breast and cervical cancer-related forms, individuals usually need to provide personal information, medical history, diagnosis details, and treatment options. It is advisable to seek guidance from healthcare providers or legal experts.

What is the purpose of breast and cervical cancer?

The purpose of addressing breast and cervical cancer involves promoting awareness, early detection, treatment options, and financial assistance for those affected by these diseases.

What information must be reported on breast and cervical cancer?

Information that must be reported includes patient identification, details of the diagnosis, stage of cancer, treatments received, and outcomes of these treatments.

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