Get Cancer Registry Form - Unified Health Management Information ...

Filling out the Cancer Registry Form is a crucial step in documenting cancer cases for health management. This guide provides clear, step-by-step instructions to help you complete the form effectively and efficiently online, ensuring that all necessary information is accurately captured.

Follow the steps to conveniently fill out the form online:

1. Click 'Get Form' button to obtain the form and open it in your editor.
2. Begin by entering the general data, starting with the name of the reporting health facility. Fill in your hospital patient ID number and hospital registry number as required.
3. Provide the patient's information, including the hospital case number, name, sex, and civil status. Ensure to fill out the mother’s maiden name and addresses clearly.
4. Complete the patient's birth date and place of birth, including the region and municipality.
5. Enter the patient's contact details, including landline and mobile numbers, as well as their email address.
6. Fill out the sections on religion, nationality, race, and ethnicity as accurately as possible.
7. Provide information about the patient’s educational attainment, occupation, and company details.
8. In case of an emergency, include a contact person’s information, including their address and contact numbers.
9. Document the patient’s history, including smoking habits, dietary intake, alcohol consumption, and chemical exposure.
10. Complete the cancer data section with the necessary details regarding referral sources, dates of consultation, diagnosis, and treatments provided.
11. At the end of the form, review all the information entered for accuracy and completeness before proceeding to save changes, download, print, or share the form.

Start filling out the Cancer Registry Form online today to ensure accurate health data management.