Get the free Breast Cancer Risk Assessment Tool: Online Calculator - NCI

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Mammogram/Breast Ultrasound Questionnaire Please complete/update for accurate lifetime breast cancer risk percentages Name: ___ DOB:___ Age:___ Weight:___ Height:______ Prior Mammograms: Y or N Facility:

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How to fill out breast cancer risk assessment

01

Step 1: Gather information about personal and family medical history.

02

Step 2: Complete a breast cancer risk assessment tool such as the Gail Model or the Tyrer-Cuzick Model.

03

Step 3: Discuss the results with a healthcare provider.

04

Step 4: Follow any recommendations for further screening or testing based on the assessment results.

Who needs breast cancer risk assessment?

01

Women with a family history of breast cancer.

02

Women with a personal history of breast abnormalities or cancer.

03

Women over the age of 35 who are concerned about their risk of developing breast cancer.

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What is breast cancer risk assessment?

Breast cancer risk assessment is a process of evaluating an individual's likelihood of developing breast cancer based on various risk factors.

Who is required to file breast cancer risk assessment?

Healthcare providers are usually required to file breast cancer risk assessment for their patients.

How to fill out breast cancer risk assessment?

To fill out a breast cancer risk assessment, healthcare providers will gather information about the patient's personal and family medical history, lifestyle factors, and genetic testing results.

What is the purpose of breast cancer risk assessment?

The purpose of breast cancer risk assessment is to identify individuals who may be at increased risk of developing breast cancer so that appropriate screening and prevention strategies can be implemented.

What information must be reported on breast cancer risk assessment?

Information such as personal and family medical history, lifestyle factors, and genetic testing results must be reported on a breast cancer risk assessment.

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