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For Breast & Cervical Health Program
Label onlyBreast & Cervical Health Program Referral
Lethbridge and Area
Fax completed form to 403.388.6647
If you have any question call 403.388.6324Patient Information
Last
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How to fill out breast health program referral
How to fill out breast health program referral
01
Begin by obtaining a referral form from your healthcare provider or the breast health program.
02
Fill out the referral form completely and accurately with your personal information and medical history.
03
Make sure to include any relevant test results or documentation that may assist in evaluating your case.
04
Submit the completed referral form to the designated contact at the breast health program.
05
Follow up with the program to ensure that your referral has been received and to schedule an appointment for further evaluation.
Who needs breast health program referral?
01
Individuals who have been advised by their healthcare provider to undergo further evaluation for potential breast health issues.
02
Individuals who have a family history of breast cancer and wish to undergo screening or genetic testing.
03
Individuals experiencing symptoms such as lumps, pain, or changes in breast tissue that may require medical attention.
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What is breast health program referral?
Breast health program referral is a process where healthcare providers refer patients to specialized breast health programs for screenings, diagnosis, and treatment of breast-related issues.
Who is required to file breast health program referral?
Healthcare providers such as doctors, nurses, and other medical professionals are required to file breast health program referral for their patients.
How to fill out breast health program referral?
To fill out a breast health program referral, healthcare providers need to provide patient information, medical history, reason for referral, and any relevant documents or test results.
What is the purpose of breast health program referral?
The purpose of breast health program referral is to ensure that patients receive timely and appropriate care for breast health issues, including screenings, diagnosis, and treatment.
What information must be reported on breast health program referral?
Information such as patient demographics, medical history, reason for referral, and any relevant test results or imaging studies must be reported on breast health program referral.
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