; and (C) in connection with such provision, a licensed physician shall review and provide to the firefighter the results of such examination or testing, as the case may be. (3) Prostate cancer With respect to prostate cancer screening, if the firefighter is a male firefighter, the communication to the firefighter of the risks and benefits of prostate cancer screenings and the provision to the firefighter of a prostate-specific antigen test— (A) on an annual basis, if the firefighter is at least 50 years old; (B) on an annual basis, if the firefighter is at least 40 years old and is a high-risk individual; and (C) as clinically indicated (without regard to age). (4) Other cancers Such services shall include routine screenings for any other cancer the risk or occurrence of which the Director of the Centers for Disease Control and Prevention has identified as higher among firefighters than among the general public, the provision of which shall be carried out during the annual periodic health assessment of the firefighter. (b) Optional nature A firefighter of the Department of Defense may opt out of the receipt of a medical testing or related service provided under subsection (a). (c) Use of consensus technical standards In providing medical testing and related services under subsection (a), the Secretary shall use consensus technical standards in accordance with section 12(d) of the National Technology Transfer and Advancement Act of 1995 ( 15 U.S.C. 272 note). (d) Documentation (1) In general In providing medical testing and related services under subsection (a), the Secretary— (A) shall document the acceptance rates of such tests offered and the rates of such tests performed; (B) shall document tests results, to identify trends in the rates of cancer occurrences among firefighters