GET SCREENED

Barbells for Boobs is committed to being a proactive voice in early detection
and provide resources to those that typically would not have access to
screening and diagnostic procedures for preventative purposes.
Barbells for Boobs is committed to being a proactive voice in early detection
and provide resources to those that typically would not have access to
screening and diagnostic procedures for preventative purposes.


If you’re looking to find a screening service and perhaps don’t know where to begin, how to find a local resource or if there is a Mammograms In Action ® Grant Program in your community to support you, please do not hesitate to reach out to us!

DISCLAIMER: Barbells for Boobs is not a treatment provider and therefore does not assist in the funding for treatment in the case of malignant diagnosis.

CONTACT INFORMATION

 

ADDITIONAL INFORMATION

 

OTHER INFORMATION

 

Do you have a physicians order for a Mammogram Screening and/or Diagnostic Procedure?

Do you have previous family history of breast cancer?

I am providing the above information to Mammograms In Action, Inc. in connection with my request for financial assistance for a mammogram previously prescribed by my doctor. I understand that Mammograms In Action is under no obligation to grant my request and may grant or deny my request at its sole discretion. I further understand that Mammograms In Action, Inc. is not a treatment provider, that any mammogram or diagnostic service paid for by Mammograms In Action, Inc. will be performed by an independent breast center, and that Mammograms In Action, Inc. does not assist in the funding for treatment in the case of malignant diagnosis. All of the above information is true to the best of my knowledge and belief.

AUTHORIZATION TO RELEASE INFORMATION: I hereby authorize Mammograms In Action, Inc. to release any information required to fulfill services with a Mammograms In Action, Inc. chosen Healthcare Facility.

 
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