Collecting My Family History of Skin Cancer

Skin cancer is usually caused by a combination of many factors such as the environment, lifestyle, and other changes that happen to our genes over time. Sometimes, skin cancer may run in families due to changes to our genes that can be passed down between generations. Knowing your family history of skin cancer (like basal cell, squamous cell, and melanoma) can help your healthcare team understand if you might have a higher risk of developing skin cancer.

By providing your email address, you are agreeing to our Privacy Policy and Terms of Use.

How do I collect my family history of skin cancer?

Use this form to collect information about your family's history of skin cancer and then share it with your healthcare provider. If you have more family members to include, you can simply print extra copies of the form! As you work on filling out your own form, take time to talk with your loved ones about family history and encourage them to complete their own.

Join the conversation

Please read our rules before commenting.