• DCH Health System Breast Cancer Screening Events

  • Sponsored by the DCH Foundation's Breast Cancer Fund, we invite West Alabama women to free breast screenings at the DCH Breast Center.

    Available Dates and Times:

    • October 7, 2025 (8-12 noon)
    • October 16, 2025 (12 noon-4pm)
    • October 22, 2025 (12 noon-4pm)
    • October 31, 2025 (8-12 noon)

    Walk-Ins are welcomed; pre-registration is preferred.

    Criteria for Participation:

    • No personal history of breast cancer
    • No health insurance
    • At least 12 months since last mammogram
    • Must live in the DCH service area
    • For women 25-39 years old, mammograms will only be ordered if the provider recommends
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
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  • Women ages 25-39 will receive a clinical breast examination and education. Mammograms will only be ordered if the provider recommends.

  • How did you learn about this event?
  • Who is your primary healthcare provider? Where do you go when you are sick?*
  • Are you insured?*

  • You will be responsible for any deductibles associated with imaging (mammograms, ultrasounds, etc). Please bring your insurance card.

  • Insurance Information

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  • Do you have a medical history of any breast cancer or of ductal carcinoma in situ(DCIS) or lobular carcinoma in situ (LCIS) or have you received previous radiation therapy to the chest for treatment of Hodgkin lymphoma?*
  • Do you have a mutation in either the BRCA1 or BRCA2 gene, or a diagnosis of a genetic syndrome that may be associated with elevated risk of breast cancer?*
  • Race*
  • Where (country) were you born?*
  • Have you ever had a breast biopsy with a benign (not cancer) diagnosis?*
  • How many breast biopsies with a benign diagnosis have you had?
  • Have you ever had a breast biopsy with atypical hyperplasia?
  • How old were you at the time of your first menstrual period?*
  • How old were you when you gave birth to your first child?*
  • How many of your FIRST degree relatives (mother, sister, daughter) have had breast cancer?*

  • Lewis and Faye Manderson Cancer Center Breast Screening Educational Pre-Survey

    Please complete. It is okay if you do not know all of the answers. Answer all questions to the best of your ability.
  • Do you know how to do a self-breast exam?*
  • Do you do monthly self-breast exams?*
  • Which of the following are risk factors for breast cancer? (please select all that apply)*
  • Your breast cancer risk decreases as you age.*
  • Early detection for breast cancer includes the following (please select all that apply):
  • What changes in your breast would make you follow-up with a physician? (please select all that apply)

  • Personal Data

    Medical History
  • Are you pregnant?*
  • Do you practice Breast Self-Exams regularly?*
  • Do you take Estrogen or Birth Control Pills?*
  • Have you been diagnosed with breast cancer?*
  • Have you ever had a mammogram and/or breast ultrasound?*
  • Have you ever had breast surgery?*
  • Have you ever had radiation to either breast?*
  • Do you have breast implants?*
  • Do you have fibrocystic disease, mastitis or other benign breast disease?*
  • Is either breast larger than the other?*
  • Do you have a lump or thickness in either breast?*
  • Do you have nipple discharge or an inverted nipple?*
  • Do you have any concerns about your breasts or breast health?*

  • Please arrive at your selected appointment time to complete the remaining paperwork.

    Everyone must check in at the Breast Center in Outpatient Imaging at the Medical Tower.

  • *If you have insurance, you will be responsible for any deductibles associated with the mammogram. Please bring your insurance card.

    Mammograms for women 25-39 will only be scheduled if recommended by the provider.

    If you have a physician AND insurance, it would be best to contact your physician for a yearly appointment to ensure continuity of care.

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