GICP health hx form 2 - Seattle Cancer Care Alliance - seattlecca 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the date and your name at the top of the form. This personal information is essential for identification.
3. In the Personal History section, answer questions regarding your medical history, such as previous diagnoses of colon cancer or polyps. Use checkboxes to indicate 'Yes' or 'No' and provide additional details where prompted.
4. Continue through each question, ensuring you fill in dates and treatment details accurately. For instance, when asked about your last colonoscopy, specify the date in mm/yy format.
5. In the Lifestyle History section, respond to questions about your current lifestyle habits, including smoking and alcohol consumption. This information helps healthcare providers understand your overall health.
6. Complete the Family History section by listing any blood relatives who have had cancer, along with relevant details like age at diagnosis.
7. Finally, review all entries for accuracy before saving or submitting your completed form through our platform.

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