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Revision ___ Printed ___0 0 0 1 ID#: |___|___|___|___|___|___|___|___||___|___|___|___| (ARMBANDS ONLY) Type of Interview:initial Enrollment Phase 3FAMILY HISTORY SUPPLEMENT QUESTIONNAIRE COLORECTAL
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Fill out all required personal information, including name, date of birth, and contact information.
03
Provide a detailed medical history for the proband, including any relevant past medical conditions or treatments.
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Include any family history of medical conditions, if known.
05
Sign and date the form as the legal guardian or authorized representative of the proband.

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Probands only refers to a specific type of filing where only the main individual or subject is reported.
The main individual or subject, known as the proband, is required to file probands only.
To fill out probands only, the proband must provide all relevant information about themselves.
The purpose of probands only is to focus solely on the main individual or subject without including additional information about other family members.
Only information related to the proband, such as personal details and relevant data, must be reported on probands only.
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