Get Screened for Breast Cancer

You may be eligible

You live in Southeast Texas
You have limited income
You are at least 40 years of age, with these exceptions:
A woman may be as young as 30 years of age if there is a history of breast cancer in her family (mother, sister, or grandmother)
A woman may receive a first mammogram at age 35, but will not be eligible again until she is 40
You do not have insurance, Medicaid or Medicare

If you want to register for a free breast cancer screening, please call our 24-hour hotline at (409) 860-3369 or fill out the form below:

Name*
First Last
Please enter your first and last names.
Date of Birth*
MM slash DD slash YYYY

Please enter your date of birth.
Phone Number*
Please enter a phone number where we can reach you.
Additional Phone Number
If you have another phone number where we can reach you, please enter it here.
Address*
Street Address Address Line 2 City State ZIP Code
Please enter your mailing address.
Email

If you have an email address, please enter it.