Get Breast Examination Forms

Filling out the Breast Examination Forms online is an important step in managing your health. This guide provides a clear, step-by-step approach to ensure you complete the form accurately and efficiently.

Follow the steps to complete the Breast Examination Forms online

1. Click the ‘Get Form’ button to obtain the form and open it in your device's editor.
2. Begin filling in the patient information section. Include your full name, date of birth, age, and the date of your last mammogram. Clearly indicate the reason for your exam by selecting the appropriate option.
3. In the family history section, indicate if anyone in your family has been diagnosed with breast cancer. Provide details about the relative and their age at diagnosis if applicable.
4. Fill out the medical information and risk assessment questions, including any previous breast cancer diagnoses and family history of female cancers or genetic syndromes. Provide your race and ethnicity information where required.
5. Complete the personal history section, answering questions about menstrual history, hormone use, and any pregnancies.
6. In the breast procedures section, provide details about any past breast biopsies, surgeries, or treatments. Indicate if you have had breast reduction or implant surgeries.
7. Review all the information you've entered to ensure it is accurate and complete. Then sign and date the form to confirm its correctness.
8. Once satisfied with the completion of the form, you can save changes, download, print, or share the form as needed.

Complete your Breast Examination Forms online today to manage your health effectively.