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FAX 833.329.4738Leqvio (Inclisiran)Provider Order Form rev. 5/5/2023Patient Information Patient Name:DOB:Patient Phone: NKDAPatient Email: Allergies:Patient Status:Weight lbs/kg:New to TherapyContinuing
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How to fill out 01 familial hypercholesterolemia
How to fill out 01 familial hypercholesterolemia
01
Understand the risks associated with familial hypercholesterolemia.
02
Gather relevant medical history, including family history of high cholesterol and heart disease.
03
Consult with a healthcare provider to determine if genetic testing is necessary.
04
If genetic testing is recommended, schedule an appointment with a genetic counselor.
05
Follow any recommendations made by healthcare providers for managing familial hypercholesterolemia, such as lifestyle changes or medication.
Who needs 01 familial hypercholesterolemia?
01
Individuals with a family history of high cholesterol and heart disease
02
People who have been diagnosed with familial hypercholesterolemia
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What is 01 familial hypercholesterolemia?
01 familial hypercholesterolemia is a genetic disorder characterized by high levels of cholesterol in the blood, leading to an increased risk of heart disease.
Who is required to file 01 familial hypercholesterolemia?
Individuals diagnosed with familial hypercholesterolemia and possibly their healthcare providers are required to report this condition for health monitoring and intervention.
How to fill out 01 familial hypercholesterolemia?
To fill out the 01 familial hypercholesterolemia, you should complete the designated forms provided by your healthcare provider or health department, ensuring all relevant personal and medical information is accurately documented.
What is the purpose of 01 familial hypercholesterolemia?
The purpose of 01 familial hypercholesterolemia reporting is to monitor the prevalence of the condition, facilitate research, and implement prevention strategies to reduce cardiovascular risks.
What information must be reported on 01 familial hypercholesterolemia?
Information such as personal identification details, medical history, cholesterol levels, and family history of heart disease must be reported on 01 familial hypercholesterolemia.
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