Tracking and Improving Screening for Colorectal Cancer Intervention
6.a-2 Feedback Form for Stool Test Negative
Table of Contents
Colorectal Cancer Screening Feedback Form for FIT Negative Patients
Below is a list of patients in your practice who participated in the SATIS-PHI/CRC screening program and had a NEGATIVE fecal immunochemical test (FIT-) result. The date of the result is included.
Patient status was determined on the basis of a medical record review and inspection of administrative data.
All patients with a NEGATIVE FIT (FIT-) result should be notified of this result and informed that the U.S. Multi-Society Task Force guidelines recommend that they should be rescreened every 12 months.
If you have any questions related to the information provided here, please call our office at [INSERT HERE: CONTACT PHONE NUMBER].
[INSERT HERE: CONTACT NAME
|Patient Name||ID Number||FIT+ Result Date||CDE Status|
Page originally created September 2012