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Non Hospital Reporting at MCR - Facilities



  1. Long Term Care Facilities (LTCFs)
  2. Radiation Therapy Facilities
  3. Ambulatory Surgery Centers

1.   Long Term Care Facilities (LTCFs)

  • MCR’s fact sheet for frequently asked questions about LTCF cancer reporting
  • MCR’s list of reportable cancer cases for LTCFs
  • MCR’s brochure for LTCFs
  • MCR’s LTCF cancer reporting manual


  •     LTCF Reporting Forms:
  • MCR’s LTCF reporting form (Word)
  • MCR’s LTCF fillable reporting form (03-19-07) (PDF)
  • Instructions for LTCF fillable reporting form (Word) (03-19-07)



  • 2.   Radiation Therapy Facilities

  • MCR’s cancer reporting letter to radiation therapy sites
  • MCR’s survey form for radiation therapy sites
  • MCR’s convenient checklist for radiation therapy sites




  • 3.   Ambulatory Surgery Centers (ASCs)

  • MCR's reporting guidelines for ASCs
  • MCR’s reporting form for ASCs
  • MCR's reportable list for ASCs
  • Reporting form for melanoma (Please use the melanoma reporting form when reporting melanoma cases)
  • Fillable reporting form for melanoma (03-19-07) (PDF)
  • Instructions for fillable melanoma reporting form (Word) (03-19-07)


  •     Word version of form
  • MCR’s reporting form for ASCs
  • Directions for MCR's reporting form for ASCs


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    Last Revised: July 31, 2008