• 12 SEP 18

    Online Appointment Request – Mammogram

    Thank you for requesting a mammogram at Artesia General Hospital. If you are a woman over 40 years of age, you do not need a referral for a screening mammogram.

    Please complete the fields below and submit. Your request will go to a scheduler who will contact you by email or phone within one to two business days during regular business hours, Monday to Friday.

    Please note: this appointment request is not for emergencies, same day or next day appointments. If you need an appointment within the next 48 hours, please contact us directly at 1-855-RAD-EXAM.

    This appointment request form requires you to answer confidential health information that is needed to complete your request and shall be used only for the purpose of helping you secure an office visit. Your personal information will not be shared with any party outside of Artesia General Hospital.

    *required information

    OAR - Mammogram

    YOUR INFORMATION

    MM/DD/YYYY

    YOUR APPOINTMENT PREFERENCES

    Physicians & Providers

    Radiology Accreditations

    American College of Radiology Accredited
    American College of Radiology Accredited Facility
    ACR Computed Tomography Accredited
    Computed Tomography
    ACR Mammography Accredited
    Mammography
    ACR MRI Accredited
    MRI
    ACR Ultrasound Accredited
    Ultrasound