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 1 Introduction Hi, May I Speak with ? My Name is 2016-2023

1 Introduction Hi, May I Speak with ? My Name is 2016-2023

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Uncle Grandmother Grandfather Grandchild Niece Nephew Half Siblings 2nd degree relatives YOUR Cousins Great Grandparent Aunt Please Great Uncle 3rd degree relatives FAMILY S CancerGreat History be thorough and accurate. Despite my provider s recommendation I decline to consent to the genetic test. Signature of patient for informed refusal Hereditary Breast and Ovarian Cancer Syndrome Breast cancer diagnosed UNDER the age of 50 Ovarian cancer at any age 2 primary breast cancers in the same...
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