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HEREDITARY CANCER RISK ASSESSMENT FORMPatients Name: ___Todays Date: ___Date of Birth: ___Have you and/or a close blood relative (father, mother, brother, sister, child, uncle, aunt, grandfather,
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How to fill out hereditary cancer risk assessment
How to fill out hereditary cancer risk assessment
01
Meet with a genetic counselor or a healthcare provider specialized in hereditary cancer risk assessment
02
Provide detailed information about your personal and family medical history
03
Undergo genetic testing if recommended by the healthcare provider
04
Discuss the results of the assessment with the healthcare provider
Who needs hereditary cancer risk assessment?
01
Individuals with a personal or family history of certain types of cancers
02
Individuals with a known genetic predisposition to cancer
03
Individuals with a family history of early onset cancers
04
Individuals with multiple relatives diagnosed with the same type of cancer
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What is hereditary cancer risk assessment?
Hereditary cancer risk assessment is a process used to evaluate an individual's risk of developing cancer based on their family history, genetic factors, and personal health information.
Who is required to file hereditary cancer risk assessment?
Individuals with a family history of cancer or those who are considering genetic testing for hereditary cancer syndromes are typically required to file a hereditary cancer risk assessment.
How to fill out hereditary cancer risk assessment?
To fill out a hereditary cancer risk assessment, individuals should gather relevant family medical history, personal health information, and details of any previous diagnoses, and provide this information in the assessment form provided by a healthcare professional.
What is the purpose of hereditary cancer risk assessment?
The purpose of hereditary cancer risk assessment is to identify individuals at increased risk for inherited cancer, enabling early detection, surveillance, and preventive measures.
What information must be reported on hereditary cancer risk assessment?
The assessment typically requires information about personal and family medical history, including types of cancer diagnosed, ages at diagnosis, and any genetic testing that has been performed.
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