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Ontario Breast Screening Program South East Regional Cancer Program In partnership with Cancer Care Ontario Phone Number: 6133455645 Ext 51120 Self Referral Program for Women 50 74 75 Charles Street,
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To fill out the high risk Ontario breast form, follow these steps:
02
Start by providing your personal information such as name, address, and contact details.
03
Indicate your age, gender, and any relevant medical history.
04
Specify whether you have any family history of breast cancer.
05
Provide details about any previous breast surgeries or treatments.
06
Answer the questions about your lifestyle and habits such as smoking, alcohol consumption, and exercise.
07
Mention any current medications or supplements you are taking.
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Finally, review the form for accuracy and completeness before submitting it.
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It is recommended to consult with a healthcare professional if you have any doubts or questions while filling out the form.

Who needs high risk ontario breast?

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High risk Ontario breast screening is recommended for individuals who fall into the following categories:
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- Women aged 30-69 with a family history of breast cancer
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- Women who have previously had breast cancer or other breast conditions
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- Individuals with certain genetic mutations that increase the risk of breast cancer
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- Women who have undergone chest radiation therapy before the age of 30
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- Those with a history of breast biopsies showing abnormal cells
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It is important to consult with a healthcare provider to determine if you meet the criteria for high risk Ontario breast screening.
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High risk Ontario breast refers to a classification for women in Ontario who have a significantly greater chance of developing breast cancer due to genetic factors, family history, or other risk indicators.
Individuals identified as high risk for breast cancer, typically those who have been advised by a healthcare provider due to genetic or family history, are required to file.
To fill out the high risk Ontario breast form, individuals should provide personal information, family health history, and any relevant medical screening results as instructed on the form.
The purpose of high risk Ontario breast is to ensure that women at high risk for breast cancer receive appropriate screening, management, and support to catch potential cancers early.
Information that must be reported includes personal details, medical history, family history of breast cancer, and any prior diagnoses or treatments related to breast health.
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