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Early Breast Cancer

This form will collect information on age and medical history, and is only  to be used for women who have had early breast cancer (stages I, II, or III)

​The first step to prevention is understanding where you are and knowing your potential risk of having heart problems that can develop when you have been diagnosed with early breast cancer.

This tool was created by Heart Doctors to help you determine your estimated heart risk, as a woman who has had early breast cancer. 

By simply having you answer a few questions, we can help you determine your risk level so you can create an action plan for protecting your heart and preventing heart problems related to cancer treatment. 

After completing this assessment,

please take a moment to click on the button below and send us feedback on your experience.


We welcome and look forward to hearing your feedback. We will use your responses to create a better experience for you. 

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