Family History and Hereditary Cancer 

The Colorado Cancer Screening Program (CCSP) is providing technical assistance, training, and support to clinic systems to implement a familial and genetic cancer risk screening tool in a primary care setting. The tool is adapted from the Colorado Generations Program and is intended to be administered using a population-based approach with support from patient navigators and the primary care team. A positive (yes) response to any question prompts a referral for genetic counseling and may warrant genetic testing and/or recommendations for screening or medical management.

Lead Development Team: Colorado Cancer Screening Program (Director: Andrea (Andi) Dwyer, Senior Program Manager: Elsa Weltzien, MPH). 

• Special acknowledgement: Kirsten Le Grice, MPH, Amie Muraski, MPH, and Sandra Garcia-Hernandez, MPH

CCSP Medical Advisory Council: Heather Hampel, MS, LGC; Peter Stanich, MD; Jennifer Weiss, MD, MS; Jennifer Kolb, MD, MS

• Special acknowledgment: Dennis Ahnen, MD

Citation for tool use:  Colorado Cancer Screening Program (2023). CCSP Family History Cancer Risk Screening Tool. Colorado School of Public Health and University of Colorado Cancer Center, Aurora, CO.

The CCSP Family History Cancer Risk Screening Tool was adapted from the Colorado Generations Program (Funded: CCPD Grants Program)

Click here to download or print the tool. 

You will be prompted to fill out a brief form and then will be provided with a link to download the tool. The English version below can be viewed only.