PDF
Word
Form WH-16 Breast Cancer Screening Form - Kentucky
What Is Form WH-16?
This is a legal form that was released by the Kentucky Department for Public Health - a government authority operating within Kentucky. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form WH-16?
A: Form WH-16 is a Breast Cancer Screening Form used in Kentucky.
Q: What is the purpose of Form WH-16?
A: The purpose of Form WH-16 is to document the results of breast cancer screenings.
Q: Who uses Form WH-16?
A: Form WH-16 is used by healthcare providers in Kentucky.
Q: What information is included in Form WH-16?
A: Form WH-16 includes information about the patient, such as age, race, and family history of breast cancer, as well as the results of the screening, including mammogram or ultrasound findings.
Q: Is Form WH-16 mandatory in Kentucky?
A: Yes, healthcare providers in Kentucky are required to use Form WH-16 for breast cancer screenings.
Form Details:
- Released on February 18, 2022;
- The latest edition provided by the Kentucky Department for Public Health;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form WH-16 by clicking the link below or browse more documents and templates provided by the Kentucky Department for Public Health.
Download Form WH-16 Breast Cancer Screening Form - Kentucky
1
2
