Get the free OBSP high risk breast screening program

December 2011 Ontario Breast Screening Program (OBS) REQUISITION FOR HIGH RISK SCREENING Please ax patient label or provide the following details DD / MMM / BY Name: (First) (Last) DOB: SHIP: DD /

How to fill out obsp high risk breast

How to fill out obsp high risk breast:

1. Start by gathering all necessary information, including personal details such as name, age, and contact information.
2. Look for the specific form titled "High Risk Breast Screening Form" within the obsp (Ontario Breast Screening Program) paperwork.
3. Begin filling out the form by providing any relevant medical history, including previous breast surgeries, family history of breast cancer, and any known genetic mutations.
4. Ensure to include any additional risk factors such as hormone replacement therapy or previous exposure to radiation therapy.
5. Fill in details about any previous mammograms or breast imaging that has been done.
6. Clearly indicate any symptoms or concerns that may warrant additional testing or follow-up.
7. Review the completed form for accuracy and completeness before submitting it to the appropriate healthcare provider or screening center.

Who needs obsp high risk breast:

1. Women who have a family history of breast cancer, especially if a first-degree relative (such as a mother, sister, or daughter) has been diagnosed at a younger age or with certain genetic mutations.
2. Individuals with a personal history of breast cancer or other breast conditions that may increase their risk, such as ductal carcinoma in situ (DCIS) or atypical ductal hyperplasia (ADH).
3. Women who have tested positive for certain genetic mutations that are associated with an increased risk of breast cancer, such as BRCA1 or BRCA2.
4. Those who have undergone previous radiation therapy to the chest area before the age of 30.
5. Individuals with a lifetime risk of breast cancer of 25% or greater, as determined by specific models or assessments.
6. Women who have chosen to undergo breast cancer prevention treatments, such as chemoprevention or risk-reducing surgeries.

Please note that it is important to consult with a healthcare professional or your primary care physician to determine if you meet the criteria for obsp high risk breast screening.

For pdfFiller’s FAQs

What is obsp high risk breast?

OBSP High Risk Breast is a program that provides screening for women at high risk of breast cancer.

Who is required to file obsp high risk breast?

Women who are considered to be at high risk of breast cancer are required to participate in the OBSP High Risk Breast program.

How to fill out obsp high risk breast?

To fill out the OBSP High Risk Breast form, women must provide their personal information, medical history, and any relevant family history of breast cancer.

What is the purpose of obsp high risk breast?

The purpose of OBSP High Risk Breast is to provide early detection and screening for women who are at a higher risk of developing breast cancer.

What information must be reported on obsp high risk breast?

The OBSP High Risk Breast form requires information about the individual's medical history, family history of breast cancer, and any previous breast screenings.

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