PDF
Word
Non-analytic Tracking Form - Arizona Cancer Registry - Arizona
Non-analytic Tracking Form - Arizona Cancer Registry is a legal document that was released by the Arizona Department of Health Services - a government authority operating within Arizona.
FAQ
Q: What is the Arizona Cancer Registry?
A: The Arizona Cancer Registry is a tracking system for cancer cases in Arizona.
Q: What is the purpose of the non-analytic tracking form?
A: The non-analytic tracking form is used to collect basic information about newly diagnosed cancer cases in Arizona.
Q: Who is required to complete the non-analytic tracking form?
A: Health care providers in Arizona are required to complete the non-analytic tracking form for their patients with a newly diagnosed cancer.
Q: What information is collected on the non-analytic tracking form?
A: The non-analytic tracking form collects information such as the patient's demographics, type of cancer, and stage of cancer.
Q: Is the information collected on the non-analytic tracking form confidential?
A: Yes, the information collected on the non-analytic tracking form is confidential and protected by law.
Q: What is the purpose of tracking cancer cases in Arizona?
A: Tracking cancer cases in Arizona helps with research, prevention, and early detection efforts to improve cancer care and outcomes.
Q: Are cancer cases reported to the Arizona Cancer Registry automatically?
A: No, health care providers are responsible for reporting cancer cases to the Arizona Cancer Registry.
Q: Who has access to the data collected by the Arizona Cancer Registry?
A: The data collected by the Arizona Cancer Registry is only accessible to authorized personnel and is used for public health purposes.
Q: Can individuals access their own cancer information reported to the Arizona Cancer Registry?
A: Yes, individuals have the right to access their own cancer information reported to the Arizona Cancer Registry.
Q: Is participation in the non-analytic tracking form mandatory?
A: Yes, health care providers in Arizona are required by law to participate in the non-analytic tracking form for cancer cases.
Form Details:
- Released on April 21, 2020;
- The latest edition currently provided by the Arizona Department of Health Services;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Arizona Department of Health Services.
Download Non-analytic Tracking Form - Arizona Cancer Registry - Arizona
1
2
