Disease: Oral Cancer

Information and Recommendations

Name of Tests

inspection and palpation

tolonium chloride rinses

In order to have a procedure performed you will first have to: 1. Submit a personal medical history. AND 2. Designate a primary care physician in your area who can directly follow up on any positive results.


Guidelines Checklist

Age

Sex

Family History

Symptoms History

Signs History

Risk Factor 1

Risk Factor 2

Risk Factor 3

Risk Factor 4


Membership ID

Designated primary care physician.


Please allow 48 hours for the processing of your request. You will receive further instruction concerning a location, contact person, and telephone number for self-scheduling of this screening study. The cost is $10.00 for ordering the study plus whatever charges are required by the provider of the test. The results will be sent to either your e-mail or snail mail address. In some instances we may call you or have your designated primary care physician contact you for follow up.