Schedule a Screening Mammogram

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Patient Information Step 2 of 4

Patient Information

What is your legal first name?

What is your middle name? (optional)

What is your legal last name?

What suffix do you use? (optional)

What academic titles do you use? (optional)

What is your address? Street

City

State

ZIP Code

What is your preferred phone number?

Select the phone type

Home Mobile Work

Is there another phone number? (optional)

Select the phone type

Home Mobile Work

At what email address can we reach you?

Do you need an interpreter?

Yes

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Insurance Information Step 3 of 4

Insurance Information

Do you have health insurance?

Yes No

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Select Appointment Date and Time Step 4 of 4

COVID-19 vaccination and Screening Mammogram: If possible, and when it does not delay care, consider scheduling your screening mammogram before your first COVID-19 vaccination or 4-6 weeks after your second COVID-19 vaccination.

Select a date

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All times shown are in local time zone, as per location selected.

Schedule a Screening Mammogram

Getting Started Step 1 of 4

Patient Information Step 2 of 4

Insurance Information Step 3 of 4

Select Appointment Date and Time Step 4 of 4

Your screening mammogram appointment is scheduled

Date and time

How to prepare for your appointment:

Schedule a Screening Mammogram

1 Getting Started Step 1 of 4

2 Patient Information Step 2 of 4

3 Insurance Information Step 3 of 4

4 Select Appointment Date and Time Step 4 of 4

Your screening mammogram appointment is scheduled

Date and time

How to prepare for your appointment:

Getting Started Step 1 of 4

Patient Information Step 2 of 4

Insurance Information Step 3 of 4

Select Appointment Date and Time Step 4 of 4