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DERMATOLOGY ONCOLOGY REFERRAL PATIENT DEMOGRAPHICS: name/DOB/Health card/Address Check if applicable: Transplant patient Goblin syndrome (Devoid Basal Cell Carcinoma) Rule out Skin Cancer. Site: ___

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How to fill out nevoid basal cell carcinoma

01

Locate the affected area on the skin.

02

Wash your hands and the affected area with soap and water.

03

Dry the area gently with a clean towel.

04

Use a clean cotton swab or applicator to apply the prescribed medication to the affected area.

05

Follow any additional instructions provided by your healthcare provider.

Who needs nevoid basal cell carcinoma?

01

Individuals who have been diagnosed with nevoid basal cell carcinoma by a healthcare provider.

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Those experiencing symptoms such as skin lesions, sores, or growths that are characteristic of nevoid basal cell carcinoma.

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What is nevoid basal cell carcinoma?

Nevoid basal cell carcinoma is a rare type of skin cancer that is inherited genetically.

Who is required to file nevoid basal cell carcinoma?

Nevoid basal cell carcinoma is a medical condition that is diagnosed and managed by dermatologists.

How to fill out nevoid basal cell carcinoma?

Nevoid basal cell carcinoma is typically diagnosed through a skin biopsy and further testing.

What is the purpose of nevoid basal cell carcinoma?

The purpose of identifying nevoid basal cell carcinoma is to monitor and treat the skin cancer effectively.

What information must be reported on nevoid basal cell carcinoma?

Information such as location, size, stage, and any recurrence of the nevoid basal cell carcinoma must be reported.

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