Cancer Screening Registration Form

Pink & Beyond is a women’s health program that focuses on breast health and beyond. For more information or if you would like to register over the phone please call 216.444.2626.

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For financial assistance, complete and send in this application.

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Screenings Requested

Talk to your doctor today about when to schedule your mammogram.

Get a Pap test and an HPV test done every 5 years or get a Pap test every 3 years.

All women at average risk should start testing at age 45.

If you are age 55 or older, talk to a health care provider about your smoking history.

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Please contact the Cancer Answer Line at 216.444.2626 to register.

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