SALESFORCE | MAMMOGRAM SCREENING EVENT

monday, OCTOBER 29, 2018 (8:00 AM - 5:00 PM)

50 fremont street, san francisco, ca

Location: SF-West-28-400-Naupaka (Salesforce West, Floor 28, Room 400)

qualifications 

Screening mammograms are recommended for asymptomatic women who are 40 years and over. However, most insurances cover one baseline screening mammogram for women between the ages of 35-40 years.

Women with pain or symptoms of the breast would need to obtain a referral from their primary care provider for a diagnostic mammogram. 

Women who are pregnant or breastfeeding should consult with their physician.

Getting your mammogram

Please fill out the appointment form below 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:

  • Wear a two piece outfit on date of exam

  • Bring a valid photo ID and insurance card

  • If you have had any prior mammograms at another facility, please bring the CD and report with you for comparison purposes

  • Download the patient paperwork to fill out prior to your appointment

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.

Appointment Form

PATIENT INFORMATION
Name *
Name
Phone *
Phone
Where can we reach you to verify appointment / insurance information?
Mammography Information
Your exam should take an average of 15 minutes. Please select a preferred start time. If your preferred time is not available, our office staff will call you to offer alternate times:
Are you a female over 40? *
Screening Mammograms are typically covered by Insurance if you are over 40 years.
Has it been at least one year since your last mammogram? *
Do you have breast implants? *
INSURANCE / PAYMENT INFORMATION
Our staff will need your photo ID and insurance card on the day of the event. If you are self-pay, please bring a Credit Card with you.
If none, write n/a