IHCS Conquer Cancer In Every Color Mammogram Screening Registration

IHCS Conquer Cancer In Every Color Mammogram Screening Registration

10/18/2024
Schedule your 3D Mammogram
Friendship Missionary Baptist Church

718 3rd Street West Palm Beach, FL 33401
Saturday - October 18, 2025

Hours of Operation:

Bus 1: 0800am - 2:00pm
- Mammograms are covered 100% by insurance once per year.
- Open to women age 40+ or beween age 35-39 if 1st baseline mammogram.
- $185 cash price for patients without insurance coverage.
- Patients must list a primary physician or OB/GYN to receive a mammogram.

Primary Care Physician or Ob/Gyn

You MUST have a CURRENT provider to get a mammogram. If you do not have one call your insurance company and get a provider assigned to you and schedule with them prior to your mammogram
Physician Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Prior Mammogram Information
Location of Your Last Mammogram. If this is your First Mammogram please write baseline.
Enter Your Last Mammogram Date (MM/YYYY)
Do you have Breast Implants?*

YESNO
Are you an existing patient or new patient ?*

Existing PatientNew Patient
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