Get Bcchp Breast Cervical Historyexamscreening Form Form For Providers To Document Assessment Exam

This guide provides comprehensive instructions on how to fill out the BCCHP Breast Cervical HistoryExamScreening Form online. Designed for providers, this user-friendly guide will ensure accurate and thorough documentation of assessments and screenings.

Follow the steps to complete the form effectively.

1. Click ‘Get Form’ button to obtain the form and open it in an online editor.
2. Begin filling in the patient’s identifying information, including their last name, first name, middle initial, clinic or screening site, date of birth, and appointment date.
3. In the cervical health history section, you will find several questions regarding sexual preference, previous Pap tests, hysterectomy details, and personal health history. Carefully select 'Yes,' 'No,' or 'Unknown' for each question.
4. Continue to the breast health history section. Record details about previous mammograms, history of breast cancer, and family history of breast cancer by checking the relevant boxes and providing any necessary dates or additional information.
5. Fill out the breast exam/screening section by indicating if a clinical breast exam (CBE) was performed. Document any findings and recommendations for further screening or diagnostics.
6. Next, complete the cervical exam/screening section. Note whether a pelvic exam was performed and provide the results, including the type of Pap test and any results or diagnostics needed.
7. In the education and follow-up section, document any counseling provided regarding risk factors and screening importance, along with recommendations for future follow-ups.
8. Finally, provide any additional comments as required in the provider comments section. Ensure to fill out reimbursement request codes appropriately.
9. Review all entered information for accuracy before proceeding. Once everything is complete, save changes, download a copy, or print the form as needed.

Complete the BCCHP Breast Cervical HistoryExamScreening Form online to ensure all necessary information is documented accurately.