ARA Health Specialists

Is this a follow up to an abnormal mammogram?

Please note: If you answer "Yes" to this question, a diagnostic mammogram will likely be recommended. Call 828-213-9729 at your earliest convenience to schedule your appointment.

Yes

Are you having any breast symptoms, such as lumps, breast infection, pain or nipple discharge?

Please note: If you answer "Yes" to this question, a diagnostic mammogram will likely be recommended. Call 828-213-9729 at your earliest convenience to schedule your appointment.

Yes

Have you been diagnosed with breast cancer within the last two years?

Please note: If you answer "Yes" to this question, a diagnostic mammogram will likely be recommended. Call 828-213-9729 at your earliest convenience to schedule your appointment.

Yes

Are you using insurance for this appointment?

Please list your primary care physician

Where was your last mammogram performed?

A Mission Health Breast Center

This is my first mammogram

I don't know

Other

Do you require additional assistance at the time of your appointment?

(i.e. wheelchair, or motorized chair dependent)

Yes

Appointment Preferences
Select all that apply

Time of Day

Day of Week

Location

Primary Contact Method

ARA CARES ABOUT BREAST HEALTH.

ARA CARES ABOUT BREAST HEALTH.