Blood Clot Risk Checklist for Cancer Patients

Checklist for blood clot risk

Check the box next to any risks below that might apply to you. Share this information with your cancer doctor or healthcare team.

Cancer-related risk factors for blood clots

Type and stage of cancer
Type of cancer treatment

Other risk factors for blood clots

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If any of these risks apply to you, speak with your cancer doctor or healthcare team.
To learn more about blood clots, visit www.stoptheclot.org/spreadtheword.