KNOW YOUR MELLONS

sign up for your complimentary mammogram exam below

Know Your Mellons - Campaign Image.jpg

This Breast Cancer Awareness month, Tamara Mellon is encouraging women to own their health.

From October 17-22, Tamara Mellon is taking over a mobile screening RV operated by Alinea Medical Imaging, to offer complimentary mammograms in San Francisco and Los Angeles - completely free regardless of your insurance status.

Enter your information below to submit your request for an appointment. All mammograms will be administered by a trained medical professional from Alinea Medical Imaging. An Alinea team member will follow up within 1 business day to confirm your appointment.

*WOMEN UNDER 40 DISCLAIMER (LINK)

Acknowledgement (for women under 40)
If you are under the age of 40, please read and acknowledge the "Women Under 40 Disclaimer"
Name *
Name
Date of Birth *
Date of Birth
Note: Annual mammogram screenings are recommended for women over the age of 40, who have no breast symptoms. Routine screening for women under 40 is not recommended. If you would still like to request a mammogram appointment, please fill out the rest of the form and we will review each case individually.
Phone *
Phone
Please select desired appointment date. The mobile screening RV will be at 2 locations during October 17 & 18 in San Francisco, and 2 locations during October 21 & 22 in Los Angeles. *October 17: Ferry Building- 138 The Embarcadero, San Francisco, CA 94105 *October 18: Fillmore Street between Sacramento and Clay - 2216 Fillmore St, San Francisco, CA 94115 *October 21: Jon & Vinny's in Los Angeles - 412 N. Fairfax Avenue, Los Angeles, CA 90036 *October 22: Erewhon Market - 585 Venice Blvd, Venice, CA 90291
Your exam should take an average of 15 min, if you have breast implants it will take 30 minutes. If your preferred appointment time is not available, an Alinea team member will call you to offer alternative appointment times. Appointments are on a first come first serve basis.
MAMMOGRAPHY INFORMATION
Are you a female over 40? *
Has it been 1 year since your last mammogram? *
Do you have breast implants? *
INSURANCE INFORMATION
Our staff will need your photo ID and medical insurance card on the day of the event, should follow-up be needed. *This mammogram will be of no cost to you. If you have no health insurance or insurance that we don't accept, Tamara Mellon will graciously cover the cost of your exam. You may also qualify to be enrolled in the Every Woman Counts program, which will cover the full cost of any additional workup if needed. If you have insurance that we accept, we can bill your insurance so that they know that you are taking care of your health and getting appropriately screened for breast cancer. You will not be charged any copay or deductible, since this is a covered preventative health benefit.