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Lung Cancer Screening Program order Form Patients Informational NAMEFirst Telephone #DOBAnnualFollowupScreening Date ___Screening Date ___c71271 Low does for lung cancer screeningReason for Order
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How to fill out lung cancer screenlng program

01
Contact your healthcare provider to inquire about lung cancer screening program.
02
Discuss your smoking history and risk factors with your healthcare provider.
03
Schedule an appointment for a low-dose CT scan of the lungs.
04
Follow any pre-screening instructions provided by your healthcare provider.
05
Attend the screening appointment and discuss the results with your healthcare provider.

Who needs lung cancer screenlng program?

01
Individuals who have a history of smoking or exposure to secondhand smoke.
02
People between the ages of 55 and 80 who are current or former smokers with a significant smoking history.
03
Patients with a family history of lung cancer.
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Lung cancer screening program is a program designed to detect lung cancer at an early stage in individuals who are at high risk for developing the disease.
Healthcare facilities and providers who offer lung cancer screening services are required to file the program.
Providers must report information on the number of individuals screened, screening results, follow-up care provided, and other relevant data.
The purpose of the program is to reduce mortality from lung cancer by diagnosing the disease at an early stage when it is more treatable.
Providers must report screening outcomes, follow-up care provided, and any additional data required by the program.
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