Brentwood school | breast cancer SCREENING EVENT
Monday, oct 15, 2018 (9AM-2PM)
100 s. barrington place, Los Angeles, CA 90049
Employees and their female spouse/significant other are welcome to make an appointment for a complimentary mammogram. Women are encouraged to receive their routine mammogram starting at age 40. However, if you are under 40, Alinea Medical Imaging will still provide a screening as long as you sign a consent form (found in the patient paperwork packet) on the day of your appointment.
Please fill out the following information to schedule your mammogram. Our staff will contact you within 2 business days to confirm your appointment time. Prior to your appointment, please prepare the following:
Download and fill out the necessary patient paperwork
Please fill out ONLY the highlighted areas on the Patient Registration Form (PG. 1 of PDF)
PRIVACY: This is a secure site, all information remains confidential, federal (HIPAA) and state privacy law compliant AND will not be shared for any other purposes other than intended e.g. breast cancer screening as requested.