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Breast Cancer Family Registry Administrative Coordinating Center 722 W 168th St 16th Floor New York, NY 10032 www.bcfamilyregistry.org bcfamilyregistry@cumc.columbia.eduBREAST CANCER FAMILY REGISTRY
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How to fill out breast cancer family registryform
How to fill out breast cancer family registryform
01
Obtain the breast cancer family registry form from the relevant healthcare provider or institution.
02
Provide accurate personal information including name, date of birth, and contact details.
03
Fill in details about family history of breast cancer including names of relatives, diagnoses, and age at diagnosis.
04
Include information about any genetic testing done for breast cancer mutations.
05
Sign and date the form to confirm the accuracy of the information provided.
Who needs breast cancer family registryform?
01
Individuals with a family history of breast cancer
02
Individuals who have undergone genetic testing for breast cancer mutations
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What is breast cancer family registry form?
The breast cancer family registry form is a document used to collect information about a person's family history of breast cancer.
Who is required to file breast cancer family registry form?
Individuals who have a family history of breast cancer are required to file the breast cancer family registry form.
How to fill out breast cancer family registry form?
The breast cancer family registry form can be filled out by providing information about the person's family members who have been diagnosed with breast cancer.
What is the purpose of breast cancer family registry form?
The purpose of the breast cancer family registry form is to gather data on family history of breast cancer in order to better understand the genetic and environmental factors that may contribute to the disease.
What information must be reported on breast cancer family registry form?
The information that must be reported on the breast cancer family registry form includes the names of family members who have had breast cancer, their relationship to the person filling out the form, and any other relevant medical history.
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