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BREAST AND CERVICAL CANCER
SCREENING ENROLLMENT FORM
Fax to: (406)2584169
Primary Care Physician:What is your age?, .,,,,,,CNN.total, lqt.... Number of people in household? What is your family\'s
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How to fill out breast amp cervical cancer
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Fill out personal information accurately including name, date of birth, address, and contact information
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Who needs breast amp cervical cancer?
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Women who are at risk for developing breast or cervical cancer
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Women over the age of 21 who have not had a recent screening for these types of cancer
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What is breast amp cervical cancer?
Breast and cervical cancer are types of cancer that affect the breasts and cervix, respectively.
Who is required to file breast amp cervical cancer?
Healthcare providers and medical facilities are required to file reports on breast and cervical cancer cases.
How to fill out breast amp cervical cancer?
To fill out reports on breast and cervical cancer, healthcare providers must include information on patient demographics, diagnosis, and treatment.
What is the purpose of breast amp cervical cancer?
The purpose of reporting on breast and cervical cancer is to track incidence rates, improve treatment outcomes, and inform public health efforts.
What information must be reported on breast amp cervical cancer?
Information that must be reported includes patient demographics, stage of cancer, treatment received, and outcomes.
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