Biostatistics Web Page

Cancer Risk Forms Print Utility

Please select one form to print at a time, and enter the number of copies of this form you wish to print.
1. Which form do you need to print? †
Cancer Risk Questionnaire GCRA Data Sheet
Cancer Risk Questionnaire - Spanish Genetic Testing
Family History Form Breast Cancer
Family History Form - Spanish Colorectal Cancer
AR Follow-up Questionnaire Ovarian Cancer
HR Follow-up Questionnaire Uterine Cancer
  Other Cancer

Patient Instructions:
Cancer Risk Questionnaire only - English Cancer Risk Questionnaire only - Spanish
Cancer Risk Questionnaire & Family History - English Cancer Risk Questionnaire & Family History - Spanish



2. Enter the number of forms to print:† 

3 (optional). Enter Header Replacement Text

   Hospital:    

   Cancer Center Program: 

4. COH Logo:

After you click on “submit query” the PDF version of the form will appear.  Click on the gray Print button* on the top left of the screen.

* Do not go to File Print or hit the print button on the top toolbar as this will only print copies of the form with the same barcode. In order for the barcode to change sequentially please click on the gray print button.

† required field