About Us

Oral Cancer Screening Forms will assist healthcare professionals in screening patients for oral cancer. Early detection is the key to better treatment, outcomes and survival with oral cancer. This site provides products developed for healthcare professionals to use in the oral cancer screening process. Document the Oral Cancer Examination (OCE) each time you perform it by using a form specific for that process. Once the examination is complete, place it in the patient’s chart or scan it into the electronic health record. Always be able to prove that an Oral Cancer Examination was done.


These documents are:

1. Oral Cancer Risk Assessment Form
2. Oral Cancer Examination 40 point checklist
3. Oral Cancer Screening Consent Form
4. Oral Lesion Referral Form
5. Oral Cavity Examination Chart
6. Tongue Examination Chart
7. Oral Lesion Biopsy Checklist
8. Facial Examination Chart
9. Biopsy Report Patient Discussion Form
10. Failed Appointment for Biopsy Form

Oral cancer is no different but, unlike the other forms of cancer, the screening process is much easier and less invasive. Be diligent about any “area of concern” in the oral cavity. Even if it’s not causing any pain, any discoloration, swelling, spots, ulcers or lumps that have been there for longer than two weeks should be checked out more thoroughly.

Rule of 2’s: “Any lump, hump, bump or spot present for 2 weeks or more needs to be checked out”

Healthcare Professionals who can perform an Oral Cancer Screening Examination:
1. Dentists
2. Dental Hygienists
3. Nurse Practitioners
4. Physician Assistants
5. Primary Care or Family Physicians
6. Urgent Care Physicians
7. Otolaryngologists (ENT)
8. Head and Neck Surgeon
9. Gastroenterologists

The Significance of Early Detection = Early Detection Saves Lives

With early detection and timely treatment, deaths from oral cancer could be dramatically reduced.

The 5-year survival rate for those with localized disease at diagnosis is 83 percent compared with only 32 percent for those whose cancer has spread to other parts of the body.

Early detection of oral cancer is often possible. Tissue changes in the mouth that might signal the beginnings of cancer often can be seen and felt easily.

Oral cancer can be readily diagnosed but the death rate from this type of cancer is high because it is often discovered late in its development, generally when it has spread to another location like the lymph nodes of the neck. At this stage the prognosis can be significantly worse.

Rule of 2’s: “Any lump, hump, bump or spot present for 2 weeks or more needs to be checked out”