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BREAST DIAGNOSTIC ASSESSMENT PROGRAM REFERRAL FORM Phone Number: 18665304464 Diagnostic Assessment Program: Queensway Health Center Fax Number: 4165214036Credit Valley Hospital Fax Number: 18775304425Date
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How to fill out breast diagnostic assessment program

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How to fill out breast diagnostic assessment program

01
Contact a healthcare provider to discuss the need for a breast diagnostic assessment program.
02
Schedule an appointment for a mammogram and, if necessary, a breast ultrasound or MRI.
03
Follow instructions for pre-screening preparations such as avoiding using deodorant or lotion before the tests.
04
Attend the appointment and undergo the necessary diagnostic tests as recommended by the healthcare provider.
05
Await the results and follow up with the healthcare provider for further guidance.

Who needs breast diagnostic assessment program?

01
Individuals who have found a lump or other abnormality in their breast during a self-exam.
02
Individuals who have a family history of breast cancer or other risk factors for developing the disease.
03
Individuals who have received an abnormal result from a routine mammogram and require further evaluation.
04
Individuals who have been diagnosed with breast cancer and need additional diagnostic tests for staging or treatment planning.
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The breast diagnostic assessment program is a program designed to provide a detailed evaluation of breast health for individuals who may be at risk for breast cancer.
Healthcare providers and facilities that offer breast diagnostic services are required to file the breast diagnostic assessment program.
The breast diagnostic assessment program can be filled out by providing detailed information on the diagnostic services offered, number of patients assessed, and outcomes of the assessments.
The purpose of the breast diagnostic assessment program is to ensure that individuals at risk for breast cancer receive the necessary diagnostic evaluations in a timely manner.
Information such as the number of patients assessed, types of diagnostic services provided, outcomes of assessments, and any follow-up recommendations must be reported on the breast diagnostic assessment program.
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