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Norris Cotton Cancer Center
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Online Medical and Family History Questionnaire

  • If you are interested in completing our online family history questionnaire (FHQ) and being evaluated for an inherited predisposition to cancer, please contact our scheduling secretaries at (603) 653-3541 or 1-800-251-0097. Once an appointment has been scheduled for you, you will receive an email invitation to complete the online questionnaire.
  • If you have already begun your online family history questionnaire and would like to continue, please sign in here.
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