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Mammography Screening
Appointment Request

To request an appointment for a routine mammography screening, please complete the form below and click on "Submit." A representative will call you within two business days to schedule an appointment.

Please note that this form is for a routine mammography screening performed at our Mount Zion campus, not for the more extensive diagnostic mammogram to evaluate abnormalities or other concerns your doctor may have.

If you have any questions, comments or complaints about your appointment request, please use our Contact Us form.

This service is for non-urgent appointments only. If you have a medical emergency, please call 911.

* Required

Patient Information

Contact Information

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Medical Information

Referral Information

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Please note that a requisition from your doctor is required. Mammograms are performed only if you have a requisition from your doctor.

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Reason For Your Visit

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To speak to a representative about making an appointment, please call the following numbers from 7:30 a.m. to 5:30 p.m., Monday to Friday:

Radiology at Women's Health Center
2356 Sutter St.,
Room J-146
San Francisco, CA 94115
Scheduling: (415) 353-2573

For help selecting a doctor, please visit our online Physician Referral Directory. You can also reach our Referral Center at (888) 689-UCSF from 8 a.m. to 5 p.m. (PST) Monday to Friday, or by email at referral.center@ucsfmedctr.org.

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