Physician Order Forms

Program/Process for CT Lung Cancer Screening   

• Flow Chart for CT Lung Cancer Screening Program - folder

Central/Eastern Kentucky Market Criteria for Patients

• Criteria for CT Lung Cancer Screenings
• Risk-Benefits Form for CT Lung Cancer Screenings
• Pack-Year Calculator for CT Lung Cancer Screenings
• Physician Order – CT Lung Cancer Screening – Central / Eastern Kentucky

Physician & Nursing Information

• NCCN Guidelines (for Positive Findings & Follow Up) Version 3.20018, January 18, 2018 
• Lung-RADS™ Assessment Categories
• KY Quit Now Patient Referral Form