salesforce - breast cancer SCREENING EVENT
WedNESday, OCT 25, 2017 (9AM-2PM)
50 fremont st, san francisco, ca 94105
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
- Bring a valid photo ID and Insurance Card
- If you have had any prior mammograms at another facility, please bring them with you for comparison purposes.
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.