Breast Cancer happens to women of all ages and races.

Complete the form below and we'll contact you to schedule your mammogram.

Florida Hospital is asking you to make a Pinky Promise to get regular mammogram screenings, and reduce your risk for breast cancer.

Making this Pinky Promise with your family, friends and other loved ones shows a commitment to put them first. It means promising not to wait, not to put it off, not to let cancer get ahead of you.

Being proactive with scheduling your screening mammogram gives you the power to take control of your health.

Schedule Your Mammogram Today!

A physician prescription is required. To find a physician call 866-478-0581.

Name
Phone
Email
Address
City/State/Zip
Date of Birth	/ /
Screening Site
Preferred Weekday
Preferred Time
When was your last mammogram?	/ /
Where did you receive your last mammogram?
Do you have insurance?	Yes No

Tote bag Special offer at DeLand & Orange City locations only.

During the month of May, enjoy a complimentary mini-massage and receive a free tote when you schedule your screening mammogram during one of our special mother’s day events.

All events will be held between the hours of 5-7:30 pm - May 2, 9, 16, 23 and 30.

Other offers include:

Pre-Paid $99 Screening Mammogram during the month of May for uninsured women. Special includes a full-field digital screening mammogram with Computer-Aided Detection and Radiologist report.