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Lung Screening Program Referral FormFax referral to: 9024251183 or email to: lungscreening@nshealth.caPlease note: This program is intended for asymptomatic individuals at high risk of developing
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How to fill out lung screening program referral

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How to fill out lung screening program referral

01
Get a referral from your primary care physician.
02
Schedule an appointment with a radiologist or healthcare provider.
03
Bring your referral and any necessary paperwork to the appointment.
04
Follow any additional instructions given by the healthcare provider.

Who needs lung screening program referral?

01
Individuals who are at high risk for lung cancer, such as current or former heavy smokers aged 55-80.
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Lung screening program referral is a recommendation or request for an individual to undergo a screening test for early detection of lung cancer.
Healthcare providers or physicians who suspect that a patient may benefit from a lung cancer screening test are required to file a lung screening program referral.
To fill out a lung screening program referral, healthcare providers must include the patient's information, medical history, and reason for referral.
The purpose of lung screening program referral is to identify individuals at high risk for developing lung cancer and provide them with early detection and treatment options.
A lung screening program referral must include the patient's demographics, smoking history, family history of cancer, and any relevant medical conditions.
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