Schedule a Mammogram

Use this form to schedule a mammogram online. Online scheduling is only available for women over 40 years old who have an average risk of developing breast cancer.

If you do not qualify for online scheduling of your mammogram, you can schedule an appointment by calling (800) 436-7936 or filling out the request an appointment form.

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Are there at least 12 months between your last mammogram and the appointment you are scheduling? Most insurances require one year and one day (366 days) between appointments.

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Have you had any history of breast cancer within the past 2 years?

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Are you presently experiencing any breast problems such as new lumps, specific pain, discharge, etc.?

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Do you have breast implants or any special needs that may require additional time (e.g., wheelchair, mental impairment, group home patient, etc.)?

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