Get Bchc Breast Diagnostic Evaluation Form - Alaska Department Of ... - Dhss Alaska

Completing the BCHC Breast Diagnostic Evaluation Form is an important step in ensuring proper breast health evaluation and follow-up. This guide will walk you through the process of filling out the form online, ensuring that you provide all necessary information accurately and efficiently.

Follow the steps to complete the form successfully.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Begin by entering the clinic information in the designated section. This includes the clinic name and medical record number.
3. Fill in personal information starting with your last name, first name, and social security number. Ensure that your date of birth is entered in the proper format.
4. Indicate the diagnostic procedure results by marking the appropriate options corresponding to your diagnostic mammogram and clinical breast exam (CBE) findings, including dates if applicable.
5. Review the section on client concerns to indicate whether your visit was prompted by specific concerns.
6. Complete the breast ultrasound and fine needle aspiration results by selecting the correct outcomes as indicated on the form.
7. The screening site clinician must fill out the diagnostic evaluation status, selecting the appropriate results based on their findings.
8. Provide information regarding any monitoring or surveillance that needs to be performed, specifying the dates and any additional procedures required.
9. Document the treatment status, indicating whether treatment has started, has been refused, or if the client is lost to treatment.
10. Once all fields have been accurately completed, save your changes to the form. You can then download, print, or share the completed form as needed.

Start completing your BCHC Breast Diagnostic Evaluation Form online today for thorough breast health evaluation.