MHCN Organic Lung Cancer Screening Quiz-5367962

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Please answer these questions to find out if you are a candidate for a low-dose CT scan for lung cancer.

Are you 55 years of age or older?*

Yes No

Are you a current or former smoker with a 30 pack-year smoking history?*

Yes No

Examples include smoking a pack of cigarettes a day for 30 years, or 2 packs of cigarettes a day for 15 years

Are you currently smoking or have quit less than 15 years ago?*

Yes No

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Disclaimer: This assessment provides an informational overview of the general risks for lung cancer only and is not intended to offer a definitive diagnosis or determination of your unique health. Always consult a physician before making any decisions related to lifestyle changes or to determine your specific risks of lung cancer based on actual medical tests conducted by a licensed healthcare professional.

Your level of risk is: low to moderate

You may not meet the criteria for a lung cancer screening, but if you are experiencing chest pain, shortness of breath, coughing up blood, frequent respiratory infections, or loss of appetite, these may be symptoms of lung cancer and should be discussed with your doctor right away.

If you do not have a doctor, we recommend selecting from our expert team of family and internal medicine providers.

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Based on your responses, you are at risk for lung cancer.

Our expert medical teams can determine if you qualify for a screening. Let us help put your mind at ease.

Please fill out the form below to take the next step. We'll contact you to discuss your history and to determine if the low-dose CT Scan is the best option for you.

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Name of primary care provider ( N/A if you do not have one)

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If you have any signs or symptoms of lung cancer such as chest pain, shortness of breath, coughing up blood, frequent respiratory infections, or loss of appetite, you do not qualify for a low-dose CT scan. These may be symptoms of lung cancer and should be discussed with your doctor right away.

This form is secured and the information that you provide is confidential.
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