Review one patient at a time. Check every item that applies. The score updates live — use the scoring guide at the bottom to prioritize your outreach. No patient names or identifying information should be entered anywhere on this tool.
1
Family history gaps
Check all that apply to this patient.
2
Prevention risk indicators
Patient-level factors that make complete family data more urgent.
3
Data organization gaps
How organized is this patient's current health information?
Score guide
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