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Qualified Patient Criteria Combinations (Female and Male) Personal History of (any one of the below): Breast or Ovarian cancer (any age) Prostate or Pancreatic.

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Presentation on theme: "Qualified Patient Criteria Combinations (Female and Male) Personal History of (any one of the below): Breast or Ovarian cancer (any age) Prostate or Pancreatic."— Presentation transcript:

1 Qualified Patient Criteria Combinations (Female and Male) Personal History of (any one of the below): Breast or Ovarian cancer (any age) Prostate or Pancreatic cancer plus 2 or more family members with Pancreas, Prostate, Breast or Ovarian Cancer (any age) Colon cancer plus 1 or more family members with Pancreas, Stomach, Brain, Uterine, or Kidney cancer (any age) Family History of (any one of the below): 1 Relative w/Ovarian cancer (any age) 1 Relative w/Breast cancer (diagnosed <45) 1 Relative w/Breast cancer (diagnosed <50) plus 1 or more Relatives with Breast cancer (any age) 1 Relative w/Breast cancer (any age) plus 2 or more Relatives with Breast, Pancreas or Prostate Cancer (any age) 2 or more Relatives with Breast, Prostate, Ovarian and/or Pancreatic cancer with 1 diagnosed <50 2 or more Relatives with Colon, Uterus, Pancreatic, Stomach, Brain and/or Kidney cancer with 1 diagnosed <50 3 or more Relatives with any of the above groups of cancer diagnosed at any age If Ashkenazi Jewish, needs 1 or more relatives with Breast cancer (any age)

2 Can be emailed or mailed to patients in practice database To be included on clipboard for all patients coming in for appointment Questionnaire to determine if patient qualifies

3 Cancer History that does NOT Qualify 1.Lung Cancer 2.Skin Cancer 3.Liver Cancer 4.Bone Cancer 5.Throat Cancer 6.Esophageal Cancer 7.Heart Cancer 8.Cervical Cancers 9.Thyroid 10.Blood Cancers (Leukemia, Lymphoma, Hodgkin's)


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