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Cervical History Questionnaire

Cervical History Questionnaire was developed by CDS with guidance from the California Cervical Expert Workgroup for use by healthcare providers providing cervical cancer screening services. The questionnaire (pdf) can be viewed and printed from this website in English and Spanish. (Adobe Reader required.)

Questionnaire use and background is further discussed on the Cervical History Questionnaire page in the Cancer Screening and Diagnosis Cervical Cancer section of this website.

 

 
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