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BREAST CANCER CARE PROGRAM Phone: 8569634742 Fax: 8565418580 2 PRESCRIBER INFORMATION:Name: ___ Address: ___ City: ___ State: ___ Zip: ___ Phone: ___ Fax: ___ NPI: ___ DEA: ___ Tax I.D.: ___ Office
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How to fill out breast and cervical cancer

01
Schedule an appointment with your healthcare provider for a breast and cervical cancer screening.
02
Provide any necessary personal information or medical history to the healthcare provider.
03
Undergo a physical examination which may include a breast exam and a Pap smear for cervical cancer screening.
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Follow any additional instructions given by the healthcare provider for further testing or follow-up care.
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Receive the results of the screenings and discuss any concerns with the healthcare provider.

Who needs breast and cervical cancer?

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Women are the primary demographic who need breast and cervical cancer screenings as they are at a higher risk of developing these types of cancer.
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Individuals with a family history of breast or cervical cancer may also need screenings at an earlier age or more frequently.
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Breast cancer is a type of cancer that forms in the cells of the breasts, while cervical cancer is a type of cancer that forms in the cells of the cervix.
Medical professionals and healthcare providers are required to file reports on breast and cervical cancer cases.
Reports on breast and cervical cancer must include information on patient demographics, diagnosis, treatment, and outcomes.
The purpose of reporting on breast and cervical cancer is to track trends, monitor disease burden, and improve public health interventions.
Information such as patient demographics, diagnosis, treatment, and outcomes must be reported on breast and cervical cancer cases.
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