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Do you meet medical criteria for HBOC or Lynch Syndrome testing?
Take our short quiz and we will follow up with you to let you know if you meet criteria--or if we need more information!
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Email
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Your email
Name (First, Last)
Your answer
Have you ever had a personal diagnosis of cancer?
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Yes
No
If yes, please provide type of cancer and age at diagnosis.
Your answer
Do you have a family history of any of the following cancers? (Father, Mother, Siblings, Aunts, Uncles, Nieces, Nephews, Grandparents, First Cousins, etc.) Check all that apply.
*
Breast
Ovarian
Colon
Uterine
Stomach
Pancreas
Prostate
Other:
Required
How many family members were diagnosed with any of the above cancers?
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1
2
3
4 or more
Were any of these cancers diagnosed before the age of 50?
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Yes
No
I don't know - but maybe I could find out.
I don't know - and there's no way to know!
Anything else we should know?
Your answer
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