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Get Baptist Health System Ms 465 2018-2024

YES NO 1. Are you pregnant? If yes, please notify the staff immediately. YES NO YES NO YES NO 2. Do you have a family history of breast cancer? Age at Diagnosis: (Mother, Sister, Grandmother, Aunt, or Daughter) 3. Do you have a personal history of breast cancer? Age at Diagnosis: 4. Have you had a mammogram before? If yes, approximate date: Place (facility name) YES NO 5.

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