Request a free mammogram

Appointments for uninsured women at the Breast Health Center in Auburn.

Free Mammograms are being offered for medically uninsured women at the Breast Health Center on Friday, Oct. 30.

Eligibility Requirements

To schedule a free mammogram, you must:

Please use the form below to request a free mammogram at the Breast Health Center.

First Name *

Last Name *

Birth Date *

Please enter MM/DD/YYYY

Cell Phone Number *

Email Address *

Primary Care Provider *

Ob/GYN Provider *

Social Security Number (Last 4 Digits) *

Please only provide the last four digits.

Have you had a mammogram before? *

When did you have the mammogram?

Preferred Appointment Time *

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