Get Hereditary Cancer Risk Assessment Program

Completing the hereditary cancer risk assessment program is a vital step in understanding your genetic predisposition to cancer. This guide provides clear, step-by-step instructions to ensure that you fill out the online form accurately and comprehensively.

Follow the steps to complete your risk assessment form effectively.

1. Press the ‘Get Form’ button to access the form and open it in your preferred document editor.
2. Begin with the basic information section. Fill in your last name, first name, middle initial, maiden name, date of birth, and current age. Ensure all details are accurate, as this information is crucial for your assessment.
3. Provide your contact information. Include your home address, phone numbers, and email address. Make sure to specify your preferred method of communication and answer whether you consent to leave voicemail messages.
4. Complete the insurance information section. Fill in details of your primary and secondary insurance, including policy numbers and contact information for your insurers.
5. In the cancer history section, of you or your immediate family members, provide relevant details regarding any cancer diagnoses, treatments, and the ages at which those diagnoses occurred.
6. Fill out the medical history section by noting any diagnoses, surgeries, allergies, and lifestyle habits. Be as thorough as possible to aid the assessment.
7. Input your cancer screening history. Answer questions regarding regular screenings, like mammograms or colonoscopies, and provide any additional details as prompted.
8. Complete the family history section by listing relatives who have had cancer or genetic testing. Include their relationships to you, cancer types, and ages at diagnosis where applicable.
9. Review your information for accuracy. It is beneficial to consult with family members for any uncertain details.
10. Once all sections are complete, save your changes. You may then choose to download, print, or email the form to the designated contact as per the instructions provided.

For a precise risk assessment, complete your hereditary cancer risk assessment program online today.