This packet, you will find information regarding our program. The next page covers "Frequently Asked Questions," which will hopefully address many of your questions. If you are interested in scheduling an appointment, please complete the pre-visit questionnaire part of this packet and send it back to us either via e-mail, fax, or mail. IF MAILING, PLEASE DO NOT SEND THIS PAPERWORK BACK TO US DOUBLE-SIDED. This information is important for your visit and required prior to your appointment. How.
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How to fill out the GBMC Hereditary Cancer Risk Assessment Program online
The GBMC Hereditary Cancer Risk Assessment Program aims to evaluate the risk of hereditary cancer based on personal and family history. Completing this assessment online is an essential first step in accessing support and medical guidance tailored to your needs.
Follow the steps to successfully complete the assessment.
- Press the ‘Get Form’ button to access the hereditary cancer risk assessment form and have it ready for completion.
- Begin by entering your basic information, including your name, date of birth, and contact details. Make sure to fill in all required fields to ensure a comprehensive assessment.
- Provide your insurance information accurately, including the policy number and claims address. If you have secondary insurance, fill out that section as well.
- In Part A, indicate your employment status, marital status, and how you prefer to be contacted. Be thorough to help the assessment process.
- Complete the cancer history section in Part B, detailing any personal cancer diagnoses and treatments you have received.
- In Part C, list any medical diagnoses, surgeries, allergies, and lifestyle information relevant to your health background.
- For Part D, summarize your cancer screening history, which includes regular check-ups and tests you undergo for cancer detection.
- In Part E, outline your family medical history, focusing on cancer incidences among relatives. It's important to provide detailed information to assist in the risk assessment.
- Once you have filled out all sections, review the document for accuracy. Please print a copy for your records and submit the completed form via the specified method (email, fax, or mail).
- Choose to save any changes to your document and consider downloading or printing it, ensuring you keep a copy of what you submitted.
Complete your GBMC hereditary cancer risk assessment form online today to take a proactive step in understanding your health.
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What is Mass General Center for cancer risk assessment?
The Center for Cancer Risk Assessment provides comprehensive care for patients and families that have hereditary cancer predisposition. Our team provides hereditary cancer risk assessment, education, genetic testing and coordinated medical care across a variety of specialty programs.
Which cancer is hereditary high risk?
Some types of cancer can run in families. For example, your risks of developing certain types of breast cancer, bowel cancer or ovarian cancer are higher if you have close relatives who developed the condition.
How is hereditary cancer screening done?
Genetic tests for cancer are typically done on a sample of blood, saliva (spit), cheek cells (from swabbing the inside of your mouth), but they can also be done on other body tissues.
What is a hereditary cancer risk assessment?
A hereditary cancer risk assessment is the key to identifying patients and families who may be at increased risk of developing certain types of cancer. This assessment should be performed by obstetrician–gynecologists or other obstetric–gynecologic care providers and should be updated regularly.
What is considered hereditary cancer?
Inherited cancers are those caused by a mutation in a gene that was present in the egg or sperm cell at the time of fertilization. These cancers make up a fraction of common cancers—like breast, colon, and prostate cancer—as well as less common cancers like pancreatic and ovarian cancer.
What age can you be tested for Lynch syndrome?
Genetic testing for Lynch syndrome is typically not recommended for children younger than 18 but can be considered once your children reach adulthood.
What is hereditary cancer program?
About the Hereditary Cancer Program Services include genetic counselling and information about cancer screening. People at risk of hereditary cancer may also be offered genetic testing. The Hereditary Cancer Program works to educate the public and health care providers about hereditary cancer.
Who should be tested for hereditary cancer?
A family member with more than 1 type of cancer. Family members who had cancer at a younger age than normal for that type of cancer. Close relatives with cancers that are linked to rare hereditary cancer syndromes. A rare cancer (in you or a family member), such as breast cancer in a man or retinoblastoma.
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