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For City of Hope in office use onlyBreast Imaging Referral Form Phone 770.400.6568 | Fax 770.400.6900 Email GAreferrals@coh.org cancercenter.com/physiciansPatient name:___ DOB:___ MR#:___ Date of

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What is for providers - cancer?

For providers - cancer refers to the reporting requirements and documentation needed from healthcare providers regarding cancer patients.

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Healthcare providers who diagnose or treat cancer patients are required to file for providers - cancer.

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The purpose of for providers - cancer is to ensure proper documentation and reporting of cancer cases for research and statistical analysis.

What information must be reported on for providers - cancer?

Providers must report detailed information about the cancer diagnosis, treatment, and outcomes of the patient.

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