2 for 1 Mammograms

The Two-for-One Mammogram Program

If you have insurance that covers a mammogram at CGH Medical Center, you can help a friend or family member who is uninsured or underinsured to get a free mammogram. The CGH Health Foundation, Genesis Voucher Program,  and Team Underwires will cover the cost of the mammogram for the person that you are sponsoring. If you don’t have someone in mind to sponsor we can pair an underserved women with your request. And if you are someone needing a mammogram but don’t have someone to sponsor you we will pair you with a sponsor.

Required fields are marked with a

Name
Address
City, State, Zip
Phone Number
Date of Birth dd/mm/yy
Doctor's Name
Date and Place of Last Mammogram
Was your last mammogram normal?	Yes No
Do you have a family history of breast cancer?	Yes No I don't know
What type of insurance do you have?
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