Cancer Screening Reminders | SHAREing & CAREing

Having trouble remembering all your important cancer screenings? Not sure which ones you need to do? Fill out this form and we’ll tell you which ones are appropriate for your situation and send you a regular email reminder on your preferred date.

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Reminder Setup

Reminder Mode*

CUSTOM (Recommended)
Tell us about yourself and we will recommend specific screenings, in a logical order, spaced out throughout the year, with the option to make changes.

MANUAL
You decide which screenings to receive and when. It’s helpful to know when your last screening was.

Name*

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Not medical advice*

I understand these recommendations do not constitute medical advice as should only be used as a guide to talk to my doctor.*

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About You

This information allows us to give you screening recommendations based on your background. If you’d prefer to manually set your reminders, go to the previous page and set reminders as “manual.”

Year of Birth*

I have (or used to have)…

Breasts

Ovaries

Testicles

Uterus

Vagina

My Personal History

Breast cancer

Ovarian cancer

Colon cancer

Prostate cancer

Uterine cancer

Melanoma

Pancreatic cancer

BRCA gene mutation

Lynch syndrome

My Family History

Breast cancer

Ovarian cancer

Colon cancer

Prostate cancer

Uterine cancer

Melanoma

Pancreatic cancer

BRCA gene mutation

Lynch syndrome

Cancer in young family members

Cancer in multiple family members

Cancer in close family members

Ashkenazi Jewish descent

My Smoking History

I have never smoked

I currently smoke

I’ve quit in the last 15 years

My Pack Years*

A pack year is the equivalent of smoking 1 pack of cigarettes (20 cigarettes) per day for a year. 20 pack years could be smoking: 20 cigarettes per day for 20 years, or 10 cigarettes per day for 40 years, or 40 cigarettes per day for 10 years.

More than 20 pack years

Less than 20 pack years

Physical Reminders

Physicals are general checkups with your primary care doctor that go over basic preventative healthcare and concerns. Most people should get physicals annually and everyone should see a doctor regularly.

We recommend everyone get an annual physical.

Physical Exam Reminder

If you would like to receive reminders, please choose “on” and choose your date.

Reminders ON

Reminders OFF

Next Physical Reminder*

MM slash DD slash YYYY

We recommend you do your physical appointment first to set a health baseline and determine proper screenings.

Breast Self-Exam Reminders

Breast self-exams (BSEs) are free 20-minute checks you make of your own breasts in the privacy of your own home. Anyone who has (or has ever had) breasts or has a family or personal history of breast cancer should do breast self-exams at the same time of the month every month.

Because you said you don’t have (and never had) breasts and no personal or family history of breast cancer, we don’t recommend you do a monthly BSE. Always check with your doctor if you notice anything abnormal.

Because you said you have (or used to have) breasts or you have a family or personal history of breast cancer, we recommend you do a monthly breast self-exam.

Breast Self-Exam Reminder

If you would like to receive reminders, please choose “on” and choose your date.

Reminders ON

Reminders OFF

Next Breast Self-Exam Reminder

MM slash DD slash YYYY

If you have a menstrual cycle, avoid the week before your period when breasts are more tender. We recommend starting BSEs before going to your OB/GYN exam so that you can address any questions with your doctor.

OB/GYN Visit Reminders

These regular exams with an OB/GYN doctor (which stands for obstetrics and gynecology) are where you can address concerns and preventative healthcare involving pregnancy, menstrual cycles, sexually transmitted diseases, and vaginal, ovarian, uterine, and breast health. In these visits patients are regular screened for cervical cancer with a pap smear. If you have (or have ever had) breasts, a uterus, ovaries, or a vagina, we recommend seeing an OB/GYN once per year.

Because you said you don’t have (or never had) breasts, ovaries, a vagina or uterus, we don’t recommend you do an annual OB/GYN visit.

Because you said you have (or or used to have) breasts, ovaries, a vagina or a uterus, we recommend you do an annual OB/GYN visit.

OB/GYN Exam Reminder

If you would like to receive reminders, please choose “on” and choose your date.

Reminders ON

Reminders OFF

Next OB/GYN Exam Reminder

MM slash DD slash YYYY

If you have a menstrual cycle, avoid that time period. We recommend starting BSEs before going to your OB/GYN exam so that you can address any questions with your doctor.

Genetic Testing Reminder

Genetic tests screen for particular gene mutations that could lead to certain hereditary cancers. Those with a personal or family history of these cancers or whose who are of Ashkenazi Jewish descent would benefit from genetic testing with analysis by a trained genetic counselor.

Because you have been diagnosed with cancer or Lynch syndrome, we recommend talking to your doctor about genetic testing. Knowing if a gene mutation is the cause of your disease will help target treatment options and plan a cancer screening schedule.

Because you have a family history of cancer, Lynch syndrome, the BRCA gene mutation or you’re of Ashkenazi Jewish descent, we recommend talking to your doctor about genetic testing.

Because you said you didn’t have a personal or family history with cancer, we don’t recommend you do a genetic test.

Genetic Testing Reminder

If you would like to receive reminders, please choose “on” and choose your date.

Reminders ON

Reminders OFF

Genetic Testing Reminder

MM slash DD slash YYYY

We recommend talking to your doctor first, so schedule this test after your physical or OB/GYN visit.

Mammogram Reminders

Mammograms are an X-ray image of the chest and are used to detect breast cancer. These imaging tests are recommended every 1-2 years for anyone over 50, who has (or used to have) breasts, and is at average risk for breast cancer.

Because you said you were over 50 and have (or used to have) breasts we recommend getting a regular mammogram. Check with your doctor about the frequency appropriate to your risk level.

Because you said that you’re under 50 years old, we don’t recommend a regular mammogram yet. But check with your doctor—you may want to start earlier if you have symptoms, or have above-average risk factors like the BRCA gene mutation, a personal or family history, or another breast condition.

Because you said you don’t have (and have never had) breasts, we don’t recommend you do a regular mammogram, but if you have a chest abnormality speak with your doctor.

Mammogram Reminders

If you would like to receive reminders, please choose “on” and choose your date.

Reminders ON

Reminders OFF

Next Mammogram Reminder

MM slash DD slash YYYY

We recommend speaking to your doctor first about this test, so schedule this after your OB/GYN visit or physical.

Lung CT Scan Reminders

A low dose lung CT Scan (LDCT) is an x-ray image of your chest. It is used to screen for lung cancer. You should be regularly screened for lung cancer if you are over 50 and currently smoke or have smoked in the last 15 years and have accumulated 20 pack years.

We do not recommend a lung CT scan for you because you said you were either under 50, had never smoked, or were a quitter with less than 20 pack years. It’s a good idea to double-check with your doctor, though.

Because you said you were over 50 and have accumulated more than 20 pack years before you quit smoking we recommend getting a regular lung CT scan. Check with your doctor about the frequency appropriate to your risk level.

Because you said you were over 50 and are a current smoker we recommend getting a regular lung CT scan. Check with your doctor about the frequency appropriate to your risk level.

Lung Cancer Screening Reminders

If you would like to receive reminders, please choose “on” and choose your date.

Reminders ON

Reminders OFF

Next Lung CT Scan Reminder

MM slash DD slash YYYY

We recommend speaking to your doctor first about this test, so schedule this after your physical.

Testicular Self-Exam Reminders

A testicular self-exam helps detect testicular cancer early and can be done for free in the privacy of your own home. For those at risk for this cancer, it should be done monthly.

Because you said you don’t have (and have never had) testicles we do not recommend a testicular self-exam.

Because you said you have (or used to have) testicles you might want to consider a testicular self-exam. Talk to your doctor to see if your risk levels make this exam appropriate.

Testicular Self-Exam Reminders

If you would like to receive reminders, please choose “on” and choose your date.

Reminders ON

Reminders OFF

Next Testicular Self-Exam Reminder

MM slash DD slash YYYY

We recommend speaking to your doctor first about this exam, so schedule this after your physical.

Colorectal Cancer Screening Reminders

Colorectal cancer can be screened for using a number of tests including a colonoscopy, stool tests, a CT colonography (virtual colonoscopy) or a flexible sigmoidoscopy. Most people of average risk should begin regularly screening at the age of 45.

Because you’re over 45 years old we recommend a regular colorectal screening. Ask your doctor about the appropriate test method and frequency for your situation.

Because you’re under 45 years old we don’t recommend a colorectal screening. If you have risk factors or a family history, it’s good to ask your doctor if you should start earlier.

Colorectal Screening Reminders

If you would like to receive reminders, please choose “on” and choose your date.

Reminders ON

Reminders OFF

Next Colorectal Screening Reminder

MM slash DD slash YYYY

We recommend speaking to your doctor first about this exam, so schedule this after your physical.

Your Reminders Are Ready!

We willl email you a copy of all the information you submitted today…
so you can over it with your doctor and put the reminders in your calendar.

If you need to edit your personal history or screening dates…
you can come back to this form at any time and enter new information using the same email address and it will overwrite your old information.

You can unsubscribe at any time…
by updating your email preferences using the link in your reminder email.

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Reminder Setup

About You

Physical Reminders

Breast Self-Exam Reminders

OB/GYN Visit Reminders

Genetic Testing Reminder

Mammogram Reminders

Lung CT Scan Reminders

Testicular Self-Exam Reminders

Colorectal Cancer Screening Reminders

Your Reminders Are Ready!

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